Abstract:

Objective To investigate the feasibility, operation outcome and safety of a new approach to myomectomytransvaginal myomectomy. Methods A series of 25 patients with uterine fibroids were treated with transvaginal myomectomy from March 2004 to April 2009. The related clinical data were analyzed. Results Transvaginal myomectomy was successfully completed in 24 patients; Pelvic abscess occurred in 2 cases. The mean number of fibroids was 1.56±0.71pieces (1~6 pieces). The mean operation time was 68±31.5 min, The estimated blood loss was176±168.5 ml. The mean length of interval between two consecutive bowel movements was 1.6±0.4 days. The average hospital stay was 8.6±4.7 days. The postoperative complication rate was 40%. Conclusion The postoperative complication rate of transvaginal myomectomy was high. Patients must be selected for this technique carefully, and the operators should have a certain degree of transvaginal operation skills.

Key words: myomectomy, transvaginal, postoperative complication rate