Obstet Gynecol Sci.  2015 Sep;58(5):401-404. 10.5468/ogs.2015.58.5.401.

Hybrid laparoscopic myomectomy: A novel technique

• Yang Y
• Jin C
• Oh K
• Park J

• KMID: 2058465
• DOI: http://doi.org/10.5468/ogs.2015.58.5.401

Abstract

The objective of this study was to report on a new surgical technique, hybrid laparoscopic myomectomy that integrates the advantages of transumbilical laparoendoscopic single-site surgery and those of isobaric laparoscopy, and the initial experience with 14 cases. All of the procedures were performed by a single surgeon who has over 18 years of experience in laparoscopic surgery and 4 years of experience in laparoendoscopic single-site surgery. All cases of hybrid laparoscopic myomectomy were completed safely and effectively without conversion to conventional laparoscopic procedure. The median operative time was 75 minutes (range, 30 to 100 minutes). No postoperative complication was observed. The findings show that hybrid laparoscopic myomectomy is a safe and feasible surgical technique, and therefore can be a feasible, minimally invasive alternative to either abdominal or laparoendoscopic single-site surgery myomectomy.

Keyword

Hybrid laparoscopic myomectomy; Laparoendoscopic single-site surgery; Uterine myoma

MeSH Terms

Laparoscopy
Leiomyoma
Operative Time
Postoperative Complications

Figure

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  Fig. 1 Enucleation performed by applying traction on the myoma with two conventional laparoscopic clamps (A). Suturing of the uterine defect by using a conventional laparotomy needle holder under isobaric laparoscopic observation (B). Intracorporeal knot tying with the aid of the surgeon's index finger introduced through the transumbilical wound (C, D). Uterine defect closed by two- to three-layered suturing (E). The umbilical incisions at 3 months after hybrid laparoscopic myomectomy (F).

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