Table 2 Summary of myomectomy main features.

Laparotomic/Laparoscopic myomectomy
Indications Stable and effective control of symptoms and mass removal in symptomatic women with a wish for future pregnancies.
Selection Subserosal fibroids/intramural fibroids protruding into the uterine cavity no more than than 50% of their size. Wide selection in patients not suitable for non-invasive procedures.
Myomectomy Laparoscopy over laparotomy
Advantages - Effective.
- Well tolerated (good QoL).
- Good fertility potentials.
- Lower traumatic impact.
- Shorter hospital recovery time.
- Lower analgesic dose.
- Faster return to daily activities.
Adverse events - Invasive surgical procedure (even if the invasiveness has different degrees).
- Recurrences increasing during postoperative years.
- Postoperative complications (infection, fever, urinary tract infection, ileus, adhesions, diffuse peritonitis) - Heavier in laparotomic approach.
- Uterine rupture.
- Malignant cells spreading during power morcellation.

QoL: Quality of Life.