Single port access laparoscopic fundusectomy, more efficient uterus-sparing surgical method for multiple fibroids in patient with no pregnancy plan

Abstract

Objective We aimed to introduce the clinical experience with a new surgical technique, single-port access laparoscopic fundusectomy, and a more efficient uterus-sparing surgical method for treating multiple fibroids in patients without a pregnancy plan. Methods We performed single-port access laparoscopic myomectomy in 228 patients and single-port access laparoscopic fundusectomy in 35 patients and compared the surgical outcomes. Results Significant differences in the surgical outcomes were observed between the two operating methods. Operating time was 150.71±24.5 minutes in the fundusectomy group than 172.13±61.30 minutes in the multiple myomectomy group (P-value 0.042). Estimated blood loss was lesser (198.29±90.53 mL) in the fundusectomy group than (314.04±344.56 mL) in the multiple myomectomy group (P-value 0.049). Conclusion This experience suggests that single-port access laparoscopic fundusectomy is more effective than single-port access laparoscopic myomectomy in terms of operating time and estimated blood loss.