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.