Comparison of Laparoscopic Myomectomy and Abdominal Myomectomy Cases Performed in Our Clinic in the Last 10 Years

Yusuf Ziya Kızıldemir; Neşe Gül Hilali

Makale detayları

Comparison of Laparoscopic Myomectomy and Abdominal Myomectomy Cases Performed in Our Clinic in the Last 10 Years

Yazarlar:

Yusuf Ziya Kızıldemir | Neşe Gül Hilali

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 2, pp.403-407

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001296799

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: The aim of our study is to compare laparoscopic and abdominal myomectomies performed in our clinic and to evaluate the feasibility and safety of laparoscopic myomectomies. Materials and Methods: In this study, we retrospectively evaluated 314 cases who were threated with myo-mectomy operation in our clinic between 2012-2022. All of the cases were divided into two groups with res-pect to the surgical procedure performed. 314 patients were in the abdominal myomectomy group, 47 patients were in the laparoscopic myomectomy group and the groups were compared. Results: There was no statistically significant difference between the groups in terms of demographic data p0.05. When the groups were evaluated in terms of postoperative white blood cellWBC, hemoglobin, hematocrit, platelet values, operation time, hospitalisation time, postoperative blood transfusion and periopera-tive complications, no statistically significant difference was observed p0.05. There were no statistically significant difference in terms of preoperative WBC and CRP values between the groups, but postoperative WBC and CRP values were lower in the laparoscopic myomectomy groupp0.05. Conclusions: Laparoscopic myomectomy has a short recovery time and aesthetic advantage. However, equip-ment and the need of experienced surgeons limit its applicability. With the development of laparoscopic tech-nologies and increasing the experience of surgeons with laparoscopic surgery, it will provide a serious ad-vantage over the abdominal method in terms of less blood loss, less hospital stay, shorter operation times, less trauma and better cosmetic results.

 Background: The aim of our study is to compare laparoscopic and abdominal myomectomies performed in our clinic and to evaluate the feasibility and safety of laparoscopic myomectomies. Materials and Methods: In this study, we retrospectively evaluated 314 cases who were threated with myo-mectomy operation in our clinic between 2012-2022. All of the cases were divided into two groups with res-pect to the surgical procedure performed. 314 patients were in the abdominal myomectomy group, 47 patients were in the laparoscopic myomectomy group and the groups were compared. Results: There was no statistically significant difference between the groups in terms of demographic data p0.05. When the groups were evaluated in terms of postoperative white blood cellWBC, hemoglobin, hematocrit, platelet values, operation time, hospitalisation time, postoperative blood transfusion and periopera-tive complications, no statistically significant difference was observed p0.05. There were no statistically significant difference in terms of preoperative WBC and CRP values between the groups, but postoperative WBC and CRP values were lower in the laparoscopic myomectomy groupp0.05. Conclusions: Laparoscopic myomectomy has a short recovery time and aesthetic advantage. However, equip-ment and the need of experienced surgeons limit its applicability. With the development of laparoscopic tech-nologies and increasing the experience of surgeons with laparoscopic surgery, it will provide a serious ad-vantage over the abdominal method in terms of less blood loss, less hospital stay, shorter operation times, less trauma and better cosmetic results.

 Background: The aim of our study is to compare laparoscopic and abdominal myomectomies performed in our clinic and to evaluate the feasibility and safety of laparoscopic myomectomies. Materials and Methods: In this study, we retrospectively evaluated 314 cases who were threated with myo-mectomy operation in our clinic between 2012-2022. All of the cases were divided into two groups with res-pect to the surgical procedure performed. 314 patients were in the abdominal myomectomy group, 47 patients were in the laparoscopic myomectomy group and the groups were compared. Results: There was no statistically significant difference between the groups in terms of demographic data p0.05. When the groups were evaluated in terms of postoperative white blood cellWBC, hemoglobin, hematocrit, platelet values, operation time, hospitalisation time, postoperative blood transfusion and periopera-tive complications, no statistically significant difference was observed p0.05. There were no statistically significant difference in terms of preoperative WBC and CRP values between the groups, but postoperative WBC and CRP values were lower in the laparoscopic myomectomy groupp0.05. Conclusions: Laparoscopic myomectomy has a short recovery time and aesthetic advantage. However, equip-ment and the need of experienced surgeons limit its applicability. With the development of laparoscopic tech-nologies and increasing the experience of surgeons with laparoscopic surgery, it will provide a serious ad-vantage over the abdominal method in terms of less blood loss, less hospital stay, shorter operation times, less trauma and better cosmetic results.

 Amaç: Çalışmamızın amacı kliniğimizde yapılan laparoskopik ve abdominal myomektomilerin karşılaştırılması ve elde edilen veriler ışığında laparoskopik myomektomi işleminin uygulanabilirlik ve güvenilirliğinin değerlendirilmesidir. Materyal ve Metod: 2012-2022 yılları arasında kliniğimizde uterin myom nedeni ile cerrahi tedavi uygulanan toplam 361 hastanın dosyası retrospektif olarak incelendi. Hastalar uygulanan cerrahi yönteme göre 2 gruba ayrıldı. Abdominal myomektomi yapılmış olan 314 hasta, laparoskopik myomektomi uygulanan 47 hasta ile karşılaştırıldı. Bulgular: Gruplar arasında demografik veriler açısından istatistiksel olarak anlamlı farklılık yoktup0.05. Gruplar, postoperatif beyaz küre, hemoglobin, hematokrit, platelet değerleri, operasyon süresi, hastanede yatış süresi, postoperatif kan transfüzyonu ve perioperatif komplikasyonlar açısından değerlendirildiğinde de istatistiksel olarak anlamlı fark izlenmedip0.05. Gruplar arasında preoperatif beyaz küre ve C-Reaktif ProteinCRP değerleri arasında istatistiksel olarak anlamlı fark gözlenmedi ancak laparoskopik myomektomi grubunda postoperatif beyaz küre ve CRP değerleri daha düşük izlendip0.05. Sonuç: Laparoskopik myomektomide iyileşme süresi kısalığı ve estetik avantaj mevcuttur. Ancak, ekipman ve tecrübeli cerrah gereksinimi uygulanabilirliğini sınırlamaktadır. Laparoskopik teknolojilerin gelişmesi ve cerrahların laparoskopi tecrübelerinin artmasıyla daha az kan kaybı, daha az hastanede kalış süresi, daha kısa operasyon süreleri, daha az travma ve daha iyi kozmetik sonuçlar açısından abdominal yönteme göre ciddi avantaj sağlayacaktır ve tercih edilecektir.

Makale detayları

Comparison of Laparoscopic Myomectomy and Abdominal Myomectomy Cases Performed in Our Clinic in the Last 10 Years

Yazarlar:

Yusuf Ziya Kızıldemir | Neşe Gül Hilali

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 2, pp.403-407

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001296799

pISSN:

1304-9623

laparoskopi

laparotomi

myomektomi

komplikasyon

Sayı

Makale detayları

Comparison of Laparoscopic Myomectomy and Abdominal Myomectomy Cases Performed in Our Clinic in the Last 10 Years

Yazarlar: Yusuf Ziya Kızıldemir | Neşe Gül Hilali

Yayıncı: Harran University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 2, pp.403-407

Belge Tipi: Makale

Yayın Tarihi: 8/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001296799

pISSN: 1304-9623

laparoskopi

laparotomi

myomektomi

komplikasyon

Sayı

Yazarlar:

Yusuf Ziya Kızıldemir | Neşe Gül Hilali

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 2, pp.403-407

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001296799

pISSN:

1304-9623