Perioperative outcomes of laparoscopic versus abdominal myomectomy- A comparative study

Background: Myomas are benign, hormone-sensitive, fibromuscular tumors of the uterus affecting up to 25-70% of reproductive aged women. The present study was conducted to compare perioperative outcomes of laparoscopic versus abdominal myomectomy. Materials & Methods: The present study was conducted on 104 women with myomectomy. Patients were divided into 2 groups of 52 each. Group I patients were planned for laparoscopic myomectomy and group II patients were planned for abdominal myomectomy. The number, size, length of hospital stays and operation time was recorded. Results: The mean age in group I patients was 38.2 years and in group II was 36.4 years, mean weight of group I patients was 68.2 kgs and group II patients was 70.3 kgs, mean height was 165.2 cm and 162.3 cm in both groups respectively, mean BMI was 26.4 Kg/m2and 27.1 Kg/m2 respectively The number of myomas was 1.2 in group I and 1 in group II. The difference was non- significant (P> 0.05). The mean operation time in group I was 130.4 minutes and 104 minutes in group II, pre- operative Hb was 11.2 g/dl in group I and 11.5 g/dl in group II, post- operative Hb was 10.4 g/dl and 10.1 g/dl in group II respectively, pre- operative hematocrit levels in group I was 36.4% in group I and 37.2 % in group II, post- operative hematocrit levels in group I was 30.5% and in group II was 31.4%, mean hospital stay was 2.4 days in group I and 3.2 days in group II, mean blood loss was 340 ml and 180 ml in both groups respectively. The difference was significant (P< 0.05). Conclusion: Authors found that laparoscopic myomectomy is comparable to open myomectomy. It yielded shorter hospitalization whereas blood loss and operation time was less with open myomectomy.