|
|
|
| Application effect of transvaginal posterior fornix removing of myoma of uterus during laparoscopic myomectomy |
| 1.Clinical College of Guizhou Medical University， Guiyang, Guizhou Province, 55000; 2. Guizhou Provincial People’s Hospital; 3.Guizhou Anshun People’s Hospital |
|
|
|
|
Abstract To investigate the safety and effectiveness of transvaginal posterior fornix removing of myoma of uterus during multihole laparoscopic myomectomy. Method: The clinical data of 42 patients who underwent laparoscopic myomectomy from September 2020 to August 2022 were collected, and their myoma of uterus were removed by transvaginal posterior fornix. After conventional removing myoma and suturing of the uterus, the myoma was placed into a common specimen bag which had inserted through the umbilical puncture device, and the myoma was put into the bag. Then the posterior vaginal fornix of the patients was cut transverse for about 30mm, and the specimen bag with myoma was pulled out through the vaginal posterior fornix under direct vision after the myoma reduced, and the incision of the vaginal posterior fornix was sutured under laparoscopy. Results: All 42 patients had completed the operation successfully, and the operation time of the patients was 191.2±171.4 min, the time from the myoma putting in the specimen bag to the myoma tumor removal was 7.7±5.3 min, the suture time of the vaginal posterior fornix incision was 3.4±0.5 min, and the number of myoma removed was 2.44±1.83 pieces. The maximum diameter of the myoma was 65.83±19.62 mm. The removed myoma included 2 pieces of submucosa myoma, 37 pieces of intermuscular wall myoma, and 3 pieces of special sites myoma. The total blood loss of the operation was 191.2±171.4ml. There were 40 patients with uterine leiomyoma and 2 patients with uterine adenomyoma confirmed by postoperative pathology. There were 2 patients with vaginal infection, and there was no any patient with rectal injury during operation. All the patients were followed up for postoperative 11.6±3.4 months and the incisions of the vaginal posterior fornix of all the patients healed well without any discomfort. Conclusion: Transvaginal posterior fornix removing of myoma of uterus during multihole laparoscopic myomectomy is economical and quickly, which is also safe and feasible, and worthy of clinical application.
|
|
|
|
|
|
|
|
|
