A different technique in gasless, laparoendoscopic, single-site myomectomy
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and Other Interventional Techniques
A different technique in gasless, laparoendoscopic, single‑site myomectomy Guixiu Jin1,2 · Xiumin Zhao1 · Danyang Zhu1 Received: 26 November 2019 / Accepted: 22 September 2020 © The Author(s) 2020
Abstract Background The aim of this study was to introduce a novel technique for gasless, laparoendoscopic, single-site (GLESS) myomectomy and to evaluate its feasibility and safety. Methods A retrospective observational study was performed at a hospital from Sep 2017 to Nov 2018. 15 patients with symptomatic subserosal or intramural myomas underwent GLESS myomectomy. Results The mean age and body mass index were 41.73 ± 8.58 years and 22.72 ± 2.27 kg/m2, respectively. 5 patients had a history of abdominal surgery, including four caesarean deliveries and one myomectomy. The mean operative duration, blood loss volume, time to specimen removal, time of bowel activity and postoperative hospitalization duration were 156.47 ± 62.19 min, 57.33 ± 72.35 ml, 29.87 ± 13.6 min, 27.67 ± 10.06 h, and 3.4 ± 0.74 days, respectively. The operation was successful in all patients, there were no surgical or wound complications in any patient, and the histopathological result was leiomyoma in all 15 patients. Conclusion The procedure is feasible and safe in selected patients with symptomatic myomas. Keywords Myomectomy · Gasless · Laparoendoscopic · Single-site Uterine myomas are the most frequent benign uterine tumours in reproductive-aged women. Surgery is performed in women with menorrhagia, dysmenorrhea, pelvic pain and enlarged uterine fibroids [1]. With the development of laparoscopic techniques, single-port, laparoscopic myomectomy is currently performed as a minimally invasive surgical technique, which offers the advantages of a more cosmetic result, reduced pain, faster recovery, fewer adhesions and reduced blood loss. However, traditional laparoscopic surgery has numerous adverse effects on cardiopulmonary function due to Guixiu Jin and Xiumin Zhao have contributed equally to this work. Supplementary Information The online version contains supplementary material available at https://doi.org/10.1007/s0046 4-020-08044-y. * Danyang Zhu [email protected] 1
Department of Gynaecology and Obstetrics, The First People’s Hospital of Taizhou, Hengjie Road 218, Taizhou 318020, Zhejiang, China
Department of Gynecology and Obstetrics, Taixing People′s Hospital, Taixing, Jiangsu, China
2
carbon dioxide pneumoperitoneum [2]. This shortcoming can be avoided using the gasless laparoscopic technique. Gasless laparoscopy can be used in the treatment of benign and malignant gynaecological diseases; in recent years, various surgical instruments and techniques have been used in these procedures [2–6]. The main disadvantages of gasless, laparoendoscopic, single-site (GLESS) surgery are the inline viewing and limited area, which increase the frequency of collisions of laparoscopic instruments extra- and intracorporeally. Therefore, we designed an operation platform to establish a good view in GLESS sur
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