Safty and Usefulness of Abdominal Myomectomy.

Kim, Hyung Tae; Park, Sung Hwan; Park, Hoon Ryang; Jang, Hong Joon; Kim, Chul; Kim, Joo Woen; Hyung, Nam Gyu

Original Article

Korean Journal of Obstetrics & Gynecology 2003;46(1):132-137.
Published online January 1, 2003.

Safty and Usefulness of Abdominal Myomectomy.

Hyung Tae Kim, Sung Hwan Park, Hoon Ryang Park, Hong Joon Jang, Chul Kim, Joo Woen Kim, Nam Gyu Hyung

¹Department of Obstetrics and Gynecology, Dong-Eui Medical Center, Pusan, Korea.
²Pusan Miz Obstetrics and Gynecology Clinics, Korea.

Abstract

OBJECTIVE
To report a safe and minimal bleeding procedure of abdominal myomectomy and to assess perioperative morbidity associated with this procedure. METHODS: From January 1998 to April 2000, We Studies 33 gynecologic patients undergoing abdominal myomectomy at department of obstetrics and gynecology, Choon-Hae Hospital, retrospectively. Particular attention was given to intraoperative estimated blood loss, blood transfusion requirement and the febrile morbidity rate. RESULTS: Myomectomy was performed successfully in all patients for whom it was scheduled. Mean intraoperative estimated blood loss was 211.5+/-91.3 mL. Four cases (12%) had an estimated blood loss greater than 400 mL. Preoperative, intraoperative or postoperative transfusion occurred in 6 cases (18%). There were no other intraoperative complications. Febrile morbidity occurred in 6 (18%) cases. Two cases (6%) experienced wound infection. CONCLUSION: We conclude that this procedure is safe and appropriate alternative for most women who want to preserve or enhance fertility potential.

Key Words: Abdominal myomectomy, fibroids