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Review Article

Minimally Invasive Myomectomy: An Overview on the Surgical Approaches and a Comparison with Mini-Laparotomy

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References

  • Vilos GA, Allaire C, Laberge P-Y, SPECIAL CONTRIBUTORS, et al. The management of uterine leiomyomas. J Obstet Gynaecol Can. 2015;37(2):157–178. doi:10.1016/S1701-2163(15)30338-8.
  • Bulun SE. Uterine fibroids. N Engl J Med. 2013;369(14):1344–1355. doi:10.1056/NEJMra1209993.
  • Ishikawa H, Ishi K, Serna VA, Kakazu R, Bulun SE, Kurita T. Progesterone is essential for maintenance and growth of uterine leiomyoma. Endocrinology 2010;151(6):2433–2442. doi:10.1210/en.2009-1225.
  • Vitale SG, Padula F, Gulino FA. Management of uterine fibroids in pregnancy. Curr Opin Obstet Gynecol. 2015;27(6):432–437. doi:10.1097/GCO.0000000000000220.
  • Rice JP, Kay HH, Mahony BS. The clinical significance of uterine leiomyomas in pregnancy. Am J Obstet Gynecol. 1989;160(5):1212–1216.. doi:10.1016/0002-9378(89)90194-4.
  • Bukulmez O, Doody KJ. Clinical features of myomas. Obstet Gynecol Clin North Am. 2006;33(1):69–84. doi:10.1016/j.ogc.2005.12.002.
  • Munro MG, Critchley HOD, Broder MS, Fraser IS, FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011;113(1):3–13. doi:10.1016/j.ijgo.2010.11.011.
  • Ezzedine D, Norwitz ER. Are women with uterine fibroids at increased risk for adverse pregnancy outcome? Clin Obstet Gynecol. 2016;59(1):119–127. doi:10.1097/GRF.0000000000000169.
  • Zaima A, Ash A. Fibroid in pregnancy: characteristics, complications, and management. Postgrad Med J. 2011;87(1034):819–828. doi:10.1136/postgradmedj-2011-130319.
  • Coronado GD, Marshall LM, Schwartz SM. Complications in pregnancy, labor, and delivery with uterine leiomyomas: a population-based study. Obstet Gynecol. 2000;95(5):764–769. doi:10.1097/00006250-200005000-00025.
  • Noor S, Fawwad A, Sultana R, et al. Pregnancy with fibroids and its and its obstetric complication. J Ayub Med Coll Abbottabad 2009;21(4):37–40.
  • Laganà AS, Vergara D, Favilli A, et al. Epigenetic and genetic landscape of uterine leiomyomas: a current view over a common gynecological disease. Arch Gynecol Obstet. 2017;296(5):855–867. doi:10.1007/s00404-017-4515-5.
  • Lee HJ, Norwitz ER, Shaw J. Contemporary management of fibroids in pregnancy. Rev Obstet Gynecol. 2010;3(1):20–27.
  • Cooper NP, Okolo S. Fibroids in pregnancy–common but poorly understood. Obstet Gynecol Surv. 2005;60(2):132–138. doi:10.1097/01.ogx.0000154688.02423.68.
  • Levens ED, Wesley R, Premkumar A, Blocker W, Nieman LK. Magnetic resonance imaging and transvaginal ultrasound for determining fibroid burden: implications for research and clinical care. Am J Obstet Gynecol. 2009;200(5):537.e1–537.e7. doi:10.1016/j.ajog.2008.12.037.
  • Keizer AL, Nieuwenhuis LL, Twisk JWR, Huirne JAF, Hehenkamp WJK, Brölmann H. Role of 3-dimensional sonography in the assessment of submucous fibroids: a pilot study. J Ultrasound Med. 2018;37(1):191–199. doi:10.1002/jum.14331.
  • Valenti G, Milone P, D’Amico S, et al. Use of pre-operative imaging for symptomatic uterine myomas during pregnancy: a case report and a systematic literature review. Arch Gynecol Obstet 2019;299(1):13–33. doi:10.1007/s00404-018-4948-5.
  • ACOG Practice Bulletin No. 96: Alternatives to hysterectomy in the management of leiomyomas. Obstet Gynecol 2008;112(2, Part 1):387–400. doi:10.1097/AOG.0b013e318183fbab.
  • Vitale SG, Laganà AS, Noventa M, et al. Transvaginal bilateral sacrospinous fixation after second recurrence of vaginal vault prolapse: efficacy and impact on quality of life and sexuality. Biomed Res Int. 2018;2018:1. doi:10.1155/2018/5727165.
  • Albright BB, Witte T, Tofte AN, et al. Robotic versus laparoscopic hysterectomy for benign disease: a systematic review and meta-analysis of randomized trials. J Minim Invasive Gynecol. 2016;23(1):18–27. doi:10.1016/j.jmig.2015.08.003.
  • Vitale SG, Caruso S, Rapisarda AMC, et al. Biocompatible porcine dermis graft to treat severe cystocele: impact on quality of life and sexuality. Arch Gynecol Obstet. 2016;293(1):125–131. doi:10.1007/s00404-015-3820-0.
  • Cignini P, Vitale SG, Laganà AS, et al. Preoperative work-up for definition of lymph node risk involvement in early stage endometrial cancer: 5-year follow-up. Updates Surg. 2017;69(1):75–82. doi:10.1007/s13304-017-0418-z.
  • Vitale SG, Capriglione S, Zito G, et al. Management of endometrial, ovarian and cervical cancer in the elderly: current approach to a challenging condition. Arch Gynecol Obstet. 2019;299(2):299–315. doi:10.1007/s00404-018-5006-z.
  • Aarts JWM, Nieboer TE, Johnson N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2015;(8):CD003677. doi:10.1002/14651858.CD003677.pub5.
  • Bozini N, Baracat EC. The history of myomectomy at the Medical School of University of São Paulo. Clinics. 2007;62(3):209-10. doi:10.1590/S1807-59322007000300002.
  • Chamberlain G. The master of myomectomy. J R Soc Med. 2003;96(6):302–304. doi:10.1258/jrsm.96.6.302.
  • Jin C, Hu Y, Chen X. c, et al. Laparoscopic versus open myomectomy-A meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol. 2009;145(1):14–21. doi:10.1016/j.ejogrb.2009.03.009.
  • Sami Walid M, Heaton RL. The role of laparoscopic myomectomy in the management of uterine fibroids. Curr Opin Obstet Gynecol. 2011;23(4):273–277. doi:10.1097/GCO.0b013e328348a245.
  • Pelosi MA, Pelosi MA. Pelosi minilaparotomy hysterectomy: a non-endoscopic minimally invasive alternative to laparoscopy and laparotomy. Surg Technol Int 2004;13(5):157–167.
  • Laganà AS, Vitale SG, Trovato MA, et al. Full-Thickness Excision versus Shaving by Laparoscopy for Intestinal Deep Infiltrating Endometriosis: Rationale and Potential Treatment Options. Biomed Res Int. 2016;2016:1. doi:10.1155/2016/3617179.
  • Stepp K. Percutaneous Laparoscopy in Gynecology. J Minim Invasive Gynecol. 2015;22(6):S136. doi:10.1016/j.jmig.2015.08.449.
  • Bellia A, Vitale SG, Laganà AS, et al. Feasibility and surgical outcomes of conventional and robot-assisted laparoscopy for early-stage ovarian cancer: a retrospective, multicenter analysis. Arch Gynecol Obstet. 2016;294(3):615–622. doi:10.1007/s00404-016-4087-9.
  • Vitale SG, Rossetti D, Tropea A, Biondi A, Laganà AS. Fertility sparing surgery for stage IA type I and G2 endometrial cancer in reproductive-aged patients: evidence-based approach and future perspectives. Updates Surg. 2017;69(1):29–34. doi:10.1007/s13304-017-0419-y.
  • Bulletti C, Polli V, Negrini V, Giacomucci E, Flamigni C. Adhesion formation after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 1996;3(4):533–536. doi:10.1016/S1074-3804(05)80163-X.
  • Saidi M, Vancaillie T, White A, Sadler R, Akright B, Farhart S. Complications of advanced operative laparoscopy: a review of 452 cases. J Am Assoc Gynecol Laparosc. 1994;1(4):S31. doi:10.1016/S1074-3804(05)80970-3.
  • Chapron C, Pierre F, Querleu D, Dubuisson JB. [Complications of laparoscopy in gynecology]. Gynecol Obstet Fertil. 2001;29(9):605–612.
  • Vitale SG, Gasbarro N, Lagana AS, et al. Safe introduction of ancillary trocars in gynecological surgery: the “yellow island” anatomical landmark. Ann Ital Chir 2016;87:608–611.
  • Dubuisson JB, O’Leary T, Feki A, Bouquet DE, Jolinière J, Dubuisson J. Laparoscopic myomectomy. Minerva Ginecol 2016;68(3):345–351.
  • Glasser MH. Minilaparotomy myomectomy: a minimally invasive alternative for the large fibroid uterus. J Minim Invasive Gynecol. 2005;12(3):275–283. doi:10.1016/j.jmig.2005.03.009.
  • Sinha R, Hegde A, Mahajan C, Dubey N, Sundaram M. Laparoscopic Myomectomy: Do Size, Number, and Location of the Myomas Form Limiting Factors for Laparoscopic Myomectomy?. J Minim Invasive Gynecol. 2008;15(3):292–300. doi:10.1016/j.jmig.2008.01.009.
  • Conforti A, Mollo A, Alviggi C, et al. Techniques to reduce blood loss during open myomectomy: a qualitative review of literature. Eur J Obstet Gynecol Reprod Biol. 2015;192:90–95. doi:10.1016/j.ejogrb.2015.05.027.
  • Tinelli A, Sparic R, Kadija S, et al. Myomas: anatomy and related issues. Minerva Ginecol. 2016;68(3):261–273.
  • Xie L, Liu Y, Wang D, et al. Application of a “Baseball” suture technique in uterine myomectomy following laparoscopic enucleation of uterine leiomyoma (fibroid). Med Sci Monit. 2018;24:3042–3049. doi:10.12659/MSM.909143.
  • Semm K. New methods of pelviscopy (gynecologic laparoscopy) for myomectomy, ovariectomy, tubectomy and adnectomy. Endoscopy 1979;11(02):85–93. doi:10.1055/s-0028-1098329.
  • Dubuisson J-B. Laparoscopic myomectomy: a current view. Hum Reprod Update. 2000;6(6):588–594. doi:10.1093/humupd/6.6.588.
  • Dubuisson J-B. Laparoscopic myomectomy: predicting the risk of conversion to an open procedure. Hum Reprod. 2001;16(8):1726–1731. doi:10.1093/humrep/16.8.1726.
  • Broder MS, Goodwin S, Chen G, et al. Comparison of long-term outcomes of myomectomy and uterine artery embolization. Obstet Gynecol. 2002;100(5 Pt 1):864–868. doi:10.1016/S0029-7844(02)02182-8.
  • Chen I, Motan T, Kiddoo D. Gonadotropin-releasing hormone agonist in laparoscopic myomectomy: systematic review and meta-analysis of randomized controlled trials. J Minim Invasive Gynecol. 2011;18(3):303–309. doi:10.1016/j.jmig.2011.02.010.
  • Ferrero S, Vellone VG, Barra F, Scala C. Ulipristal acetate before hysteroscopic and laparoscopic surgery for uterine myomas: help or hindrance?. Gynecol Obstet Invest 2018; 14:1–13.
  • Dubuisson J, Ramyead L, Streuli I. The role of preventive uterine artery occlusion during laparoscopic myomectomy: a review of the literature. Arch Gynecol Obstet. 2015;291(4):737–743. doi:10.1007/s00404-014-3546-4.
  • Garzon S, Laganà AS, Pomini P, Raffaelli R, Ghezzi F, Franchi M. Laparoscopic reversible occlusion of uterine arteries and cornuostomy for advanced interstitial pregnancy. Minim Invasive Ther Allied Technol. 2018;4:1-4. doi:10.1080/13645706.2018.1547764.
  • Fusca L, Perelman I, Fergusson D, Boutet M, Chen I. The effectiveness of tranexamic acid at reducing blood loss and transfusion requirement for women undergoing myomectomy: a systematic review and meta-analysis. J Obstet Gynaecol Can. 2018;29. doi: 10.1016/j.jogc.2018.04.007.
  • Kapp DS, Shin JY, Chan JK. Prognostic factors and survival in 1396 patients with uterine leiomyosarcomas: emphasis on impact of lymphadenectomy and oophorectomy. Cancer 2008;112(4):820–830. doi:10.1002/cncr.23245.
  • Lum DA, Sokol ER, Berek JS, et al. Impact of the 2014 food and drug administration warnings against power morcellation. J Minim Invasive Gynecol. 2016;23(4):548–556. doi:10.1016/j.jmig.2016.01.019.
  • Ghezzi F, Casarin J, De Francesco G, et al. Transvaginal contained tissue extraction after laparoscopic myomectomy: a cohort study. BJOG: Int J Obstet Gy. 2018;125(3):367–373. doi:10.1111/1471-0528.14720.
  • Casarin J, Uccella S, Morosi C, et al. In-Bag transvaginal specimen extraction after laparoscopic myomectomy: a single centre analysis. J Minim Invasive Gynecol. 2015;22(6):S86–S87. doi:10.1016/j.jmig.2015.08.232.
  • Lee CL, Wang CJ. Laparoscopic myomectomy. Taiwan J Obstet Gynecol. 2009;48(4):335–341. doi:10.1016/S1028-4559(09)60321-1.
  • Harris W. Uterine dehiscence following laparoscopic myomectomy. Int J Gynecol Obstet. 1993;41(2):216–216. doi:10.1016/0020-7292(93)90743-G.
  • Liu H, Lu D, Wang L, Shi G, Song H, Clarke J. Robotic surgery for benign gynaecological disease. Cochrane Database Syst Rev. 2012;15(2):CD008978. doi:10.1002/14651858.CD008978.pub2.
  • Cho JE, Nezhat FR. Robotics and gynecologic oncology: review of the literature. J Minim Invasive Gynecol. 2009;16(6):669–681. doi:10.1016/j.jmig.2009.06.024.
  • Oelher MK. Robot-assisted surgery in gynaecology. Aust New Zeal J Obstet Gynaecol 2009;49(2):124–129. doi:10.1111/j.1479-828X.2009.00950.x.
  • Advincula AP, Xu X, Goudeau S, Ransom SB. Robot-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparison of short-term surgical outcomes and immediate costs. J Minim Invasive Gynecol. 2007;14(6):698–705. doi:10.1016/j.jmig.2007.06.008.
  • Barakat EE, Bedaiwy MA, Zimberg S, Nutter B, Nosseir M, Falcone T. Robotic-assisted, laparoscopic, and abdominal myomectomy: a comparison of surgical outcomes. Obstet Gynecol. 2011;117(2, Part 1):256–266. doi:10.1097/AOG.0b013e318207854f.
  • Bedient CE, Magrina JF, Noble BN, Kho RM. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol. 2009;201(6):566.e1–566.e5. doi:10.1016/j.ajog.2009.05.049.
  • Nezhat C, Lavie O, Hsu S, Watson J, Barnett O, Lemyre M. Robotic-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy—a retrospective matched control study. Fertil Steril. 2009;91(2):556–559. doi:10.1016/j.fertnstert.2007.11.092.
  • Pundir J, Pundir V, Walavalkar R, Omanwa K, Lancaster G, Kayani S. Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy: systematic review and meta-analysis. J Minim Invasive Gynecol. 2013;20(3):335–345. doi:10.1016/j.jmig.2012.12.010.
  • Moawad GN, Tyan P, Paek J, et al. Comparison between single-site and multiport robot-assisted myomectomy. J Robot Surg. 2019. doi:10.1007/s11701-019-00919-0.
  • Vitale SG, Sapia F, Rapisarda AMC, et al. Hysteroscopic morcellation of submucous myomas: a systematic review. Biomed Res Int. 2017;2017:1. doi:10.1155/2017/6848250.
  • Capmas P, Levaillant JM, Fernandez H. Surgical techniques and outcome in the management of submucous fibroids. Curr Opin Obstet Gynecol. 2013;25(4):332–338. doi:10.1097/GCO.0b013e3283630e10.
  • Laganà AS, Vitale SG, Muscia V, et al. Endometrial preparation with Dienogest before hysteroscopic surgery: a systematic review. Arch Gynecol Obstet. 2017;295(3):661–667. doi:10.1007/s00404-016-4244-1.
  • Kodama M, Onoue M, Otsuka H, et al. Efficacy of dienogest in thinning the endometrium before hysteroscopic surgery. J Minim Invasive Gynecol. 2013;20(6):790–795. doi:10.1016/j.jmig.2013.04.02.
  • Mazzon I, Favilli A, Grasso M, et al. Predicting success of single step hysteroscopic myomectomy: A single centre large cohort study of single myomas. Int J Surg. 2015;22:10–14. doi:10.1016/j.ijsu.2015.07.714.
  • Laganà AS, Alonso Pacheco L, Tinelli A, et al. Management of asymptomatic submucous myomas in women of reproductive age: a consensus statement from the global congress on hysteroscopy scientific committee. J Minim Invasive Gynecol. 2019;26(3):381–383. doi:10.1016/j.jmig.2018.06.020.
  • Isono W, Wada-Hiraike O, Sugiyama R, Maruyama M, Fujii T, Osuga Y. Prediction of the operative time for hysteroscopic myomectomy for leiomyomas penetrating the intramural cavity using leiomyoma weight and clinical characteristics of patients. Reprod Med Biol. 2018;17(4):487–492. doi:10.1002/rmb2.12228.
  • Bettocchi S, Di Spiezio Sardo A, Ceci O, et al. A new hysteroscopic technique for the preparation of partially intramural myomas in office setting (OPPIuM technique): a pilot study. J Minim Invasive Gynecol. 2009;16(6):748–754. doi:10.1016/j.jmig.2009.07.016.
  • Cicinelli E, Mitsopoulos V, Fascilla FD, Sioutis D, Bettocchi S. The OPPIuM technique: office hysteroscopic technique for the preparation of partially intramural leiomyomas. Minerva Ginecol 2016;68(3):328–333.
  • Tinelli A, Kosmas I, Mynbaev OA, et al. Submucous fibroids, fertility, and possible correlation to pseudocapsule thickness in reproductive surgery. Biomed Res Int. 2018;2018:1. doi:10.1155/2018/2804830.
  • Tinelli A, Mynbaev OA, Mettler L, et al. A combined ultrasound and histologic approach for analysis of uterine fibroid pseudocapsule thickness. Reprod Sci. 2014;21(9):1177–1186. doi:10.1177/1933719114537719.
  • Amer-Cuenca JJ, Marín-Buck A, Vitale SG, et al. Non-pharmacological pain control in outpatient hysteroscopies. Minim Invasive Ther Allied Technol. 2019;22:1–10. doi:10.1080/13645706.2019.1576054.
  • Piecak K, Milart P. Hysteroscopic myomectomy. pm. 2017;16(4):126–128. doi:10.5114/pm.2017.72757.
  • Giacobbe V, Rossetti D, Vitale SG, et al. Otorrhagia and nosebleed as first signs of intravascular absorption syndrome during hysteroscopy: from bench to bedside. Kathmandu Univ Med J (KUMJ) 2016;14(53):87–89.
  • Fanfani F, Fagotti A, Longo R, Marana E, Mancuso S, Scambia G. Minilaparotomy in the management of benign gynecologic disease. Eur J Obstet Gynecol Reprod Biol. 2005;119(2):232–236. doi:10.1016/j.ejogrb.2004.07.040.
  • Panici PB, Zullo MA, Angioli R, Muzii L. Minilaparotomy hysterectomy: a valid option for the treatment of benign uterine pathologies. Eur J Obstet Gynecol Reprod Biol. 2005;119(2):228–231. doi:10.1016/j.ejogrb.2004.07.039.
  • Cicinelli E, Tinelli R, Colafiglio G, Saliani N. Laparoscopy vs minilaparotomy in women with symptomatic uterine myomas: a prospective randomized study. j Minim Invasive Gynecol. 2009;16(4):422–426. doi:10.1016/j.jmig.2009.03.011.
  • Ciavattini A, Tsiroglou D, Tranquilli AL, Litta P. Laparoscopic versus ultraminilaparotomic myomectomy for the treatment of large uterine myomas. Acta Obstet Gynecol Scand. 2010;89(1):151–155. doi:10.3109/00016340903295592.
  • Fanfani F, Fagotti A, Bifulco G, Ercoli A, Malzoni M, Scambia G. A prospective study of laparoscopy versus minilaparotomy in the treatment of uterine myomas. J Minim Invasive Gynecol. 2005;12(6):470–474. doi:10.1016/j.jmig.2005.07.002.
  • Damiani A, Melgrati L, Marziali M, Sesti F, Piccione E. Laparoscopic myomectomy for very large myomas using an isobaric (gasless) technique. JSLS J Soc Laparoendosc Surg 2005;9(4):434–438.
  • Damiani A, Melgrati L, Franzoni G, Stepanyan M, Bonifacio S, Sesti F. Isobaric gasless laparoscopic myomectomy for removal of large uterine leiomyomas. Surg Endosc. 2006;20(9):1406–1409. doi:10.1007/s00464-004-9078-4.
  • Sesti F, Pietropolli A, Sesti FF, Piccione E. Uterine myomectomy: role of gasless laparoscopy in comparison with other minimally invasive approaches. Minim Invasive Ther Allied Technol. 2013;22(1):1–8. doi:10.3109/13645706.2012.680889.
  • Benassi L, Marconi L, Benassi G, Accorsi F, Angeloni M, Besagni F. Minilaparotomy vs laparotomy for uterine myomectomies: a randomized controlled trial. Minerva Ginecol 2005;57(2):159–163.
  • Malzoni M, Tinelli R, Cosentino F, Iuzzolino D, Surico D, Reich H. Laparoscopy versus minilaparotomy in women with symptomatic uterine myomas: short-term and fertility results. Fertil Steril. 2010;93(7):2368–2373. doi:10.1016/j.fertnstert.2008.12.127.
  • Palomba S, Zupi E, Russo T, et al. A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: short-term outcomes. Fertil Steril. 2007;88(4):942–951. doi:10.1016/j.fertnstert.2006.12.048.
  • Zhang Y, Ma D, Li X, Zhang Q. Role of barbed sutures in repairing uterine wall defects in laparoscopic myomectomy: a systemic review and meta-analysis. J Minim Invasive Gynecol. 2016;23(5):684–691. doi:10.1016/j.jmig.2016.03.008.
  • Soto E, Flyckt R, Falcone T. Minimally invasive myomectomy using unidirectional knotless barbed suture. J Minim Invasive Gynecol. 2014;21(1):27. doi:10.1016/j.jmig.2013.09.007.
  • Fambrini M, Penna C, Pieralli A, et al. Feasibility of myomectomy performed by minilaparotomy. Acta Obstet Gynecol Scand. 2006;85(9):1109–1113. doi:10.1080/00016340600722823.
  • Wen KC, Sung PL, Lee WL, Li YT, Su WH, Wang PH. Myomectomy for uterine myomas through ultramini-laparotomy. J Obstet Gynaecol Res. 2011;37(5):383–392. doi:10.1111/j.1447-0756.2010.01359.x.

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