A clinical study of vaginal myomectomy.

Chang, Eu Gene; Lee, So Myung; Cho, Hye Yeon; Park, Seo Yeon; Kim, Eun Kyoung; Kang, Woo Dae; Kim, Jong Woon; Kim, Seok Mo; Choi, Ho Sun

Original Article

Korean Journal of Obstetrics & Gynecology 2008;51(9):988-994.
Published online September 1, 2008.

A clinical study of vaginal myomectomy.

Eu Gene Chang, So Myung Lee, Hye Yeon Cho, Seo Yeon Park, Eun Kyoung Kim, Woo Dae Kang, Jong Woon Kim, Seok Mo Kim, Ho Sun Choi

Department of Obstetrics and Gynecology, College of Medicine, Chonnam University, Gwangju, Korea. hschoi@chonnam.ac.kr

Abstract

OBJECTIVE
The aim of this study was to evaluate the clinical effectiveness and safety of vaginal myomectomy via colpotomy with analyzing clinical course and postoperative complication. METHODS: A retrospective study was performed in 59 patients, who underwent vaginal myomectomy between November 1997 and July 2006 in department of gynecology, Chonnam National University Hospital. Operating time, hemoglobin change, postoperative pain, perioperative complication, and days of hospital stay were recorded. RESULTS: Fifty-nine patients were evaluated, mean age of patients was 41.54+/-5.8 years. Mean diameter of the uterine myoma was 6.79+/-1.75 cm. Mean operating time was 66.69+/-34.49 minute. Mean hemoglobin loss was 2.67+/-1.26 g/dL, and mean days of hospital stay was 4.91+/-1.25 days. One patient had febrile morbidity. Only one patient had suffered from retroperitoneal bleeding enough to get on operation. CONCLUSION: Vaginal myomectomy seems to be a feasible and safe surgical procedure. Further randomised studies are needed to compare this procedure with laparotomy and laparoscopy, and vaginal myomectomy is expected to be more effective and generalized surgical procedure.

Key Words: Leiomyoma, Vaginal myomectomy, Colpotomy