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| Comparative analysis of the curative effect of transumbilical single-port laparoscopic myomectomy and conventional laparoscopic myomectomy for treating women with uterine fibroids |
| Qionghai People's Hospital, Hainan Province, 571400 |
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Abstract To explore the curative effect and safety of transumbilical single-port laparoscopic myomectomy (SPLM) for treating women with uterine fibroids. Methods: A retrospective analysis was performed on 100 women who had undergone myomectomy from January 2018 to December 2019, which included 50 women who had undergone SPLM in group A and 50 women who had undergone conventional multiport laparoscopic myomectomy in group B. The conditions of basic perioperation, the postoperative complications, and the satisfaction on the appearance of the incision, postoperative ovarian function, and pregnancy of the women were compared between the two groups. Results: There were no significant differences in the operative time, the intraoperative blood loss, the proportion of blood transfusion, and the postoperative hemoglobin value decreased of the women between the two groups (P＞0.05). The scores of immediate postoperative pain (lose efficacy of anesthesia) (4.1±0.8 points) of the women in group A was significantly lower than that (4.6±1.1 points) of the women in group B, and the postoperative hospital stay (2.6±0.7 days) of the women in group A was significantly shorter than that (3.8±1.1 days) of the women in group B (P＜0.05). There was no significant difference in the postoperative complication rate (6.0% vs. 4.0%) of the women between the two groups (P＞0.05). The postoperative satisfaction of the women in group A was significantly better than that of the women in group B (P＜0.05). The levels changes of serum estradiol, follicle stimulating hormone, and antimullerin hormone of the women in the two groups in the 6th month after operation had no significantly different, and which also had no significant different of the women between the two groups. There were no significant differences in the postoperative pregnancy rate, the live birth rate, and the adverse pregnancy outcomes of the women between the two groups (all P＞0.05). Conclusion: SPLM used for treating uterine fibroids is safe and feasible, which has more advantages of mild postoperative pain and quick recovery after operation than those of MPLM, so it can better meet the aesthetic requirement of the women after operation.
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