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KMID : 0358420080510090988
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Korean Journal of Obstetrics and Gynecology
2008 Volume.51 No. 9 p.988 ~ p.994
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A clinical study of vaginal myomectomy
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Chang Eu-Gene
Kim Seok-Mo
Choi Ho-Sun
Kim Jong-Woon
Park Seo-Yeon
Lee So-Myung
Cho Hye-Yon
Kim Eun-Kyoung
Kang Woo-Dae
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Abstract
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Objective: The aim of this study was to evaluate the clinical effectiveness and safety of vaginal myomectomy via colpotomy with analyzing clinical course and postoperative complication.
Methods: A retrospective study was performed in 59 patients, who underwent vaginal myomectomy between November 1997 and July 2006 in department of gynecology, Chonnam National University Hospital. Operating time, hemoglobin change, postoperative pain, perioperative complication, and days of hospital stay were recorded.
Results: Fifty-nine patients were evaluated, mean age of patients was 41.54±5.8 years. Mean diameter of the uterine myoma was 6.79±1.75cm. Mean operating time was 66.69±34.49 minute. Mean hemoglobin loss was 2.67±1.26 g/dL, and mean days of hospital stay was 4.91±1.25 days. One patient had febrile morbidity. Only one patient had suffered from retroperitoneal bleeding enough to get on operation.
Conclusion: Vaginal myomectomy seems to be a feasible and safe surgical procedure. Further randomised studies are needed to compare this procedure with laparotomy and laparoscopy, and vaginal myomectomy is expected to be more effective and generalized surgical procedure.
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KEYWORD
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Leiomyoma, Vaginal myomectomy, Colpotomy
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