Myomectomy does not always provide a definitive solution1,2
- Reintervention rates after myomectomy*:
- 76.2% for laparoscopic myomectomy
- 63.4% for abdominal myomectomy
- Since the FDA warning in 2014 to utilise safer morcellation methods3, there has been a trend toward an increase in abdominal myomectomy3
- Abdominal myomectomy is associated with a 3X HIGHER composite morbidity (16%) vs laparoscopic myomectomy (5%)4
*A total of 474 women underwent laparoscopic myomectomy (L-M) and 279 underwent open myomectomy (O-M). The patients were followed up from 6 months to 8 years. Recurrence was confirmed when a myoma with a diameter of >1 was detected. Post-LM and post O-m recurrence rates were investigated and a Cox hazard test performed.
2. Kotani Y et al. J Obstet Gynaecol Res 2018; 44(2): 298-302.
3. Glazer LM et al. Best Pract & Res Clin Obs & Gynaecol 2018; 46: 99-112
4. Stentz NC et al. Obste Gynecol 2017; 129:1007-13.
