Comparison of Laparoscopic Myomectomy and Abdominal Myomectomy Cases Performed in Our Clinic in the Last 10 Years

Öz

Background: The aim of our study is to compare laparoscopic and abdominal myomectomies performed in our clinic and to evaluate the feasibility and safety of laparoscopic myomectomies. Materials and Methods: In this study, we retrospectively evaluated 314 cases who were threated with myo-mectomy operation in our clinic between 2012-2022. All of the cases were divided into two groups with res-pect to the surgical procedure performed. 314 patients were in the abdominal myomectomy group, 47 patients were in the laparoscopic myomectomy group and the groups were compared. Results: There was no statistically significant difference between the groups in terms of demographic data (p>0.05). When the groups were evaluated in terms of postoperative white blood cell(WBC), hemoglobin, hematocrit, platelet values, operation time, hospitalisation time, postoperative blood transfusion and periopera-tive complications, no statistically significant difference was observed (p>0.05). There were no statistically significant difference in terms of preoperative WBC and CRP values between the groups, but postoperative WBC and CRP values were lower in the laparoscopic myomectomy group(p<0.05). Conclusions: Laparoscopic myomectomy has a short recovery time and aesthetic advantage. However, equip-ment and the need of experienced surgeons limit its applicability. With the development of laparoscopic tech-nologies and increasing the experience of surgeons with laparoscopic surgery, it will provide a serious ad-vantage over the abdominal method in terms of less blood loss, less hospital stay, shorter operation times, less trauma and better cosmetic results.

Kliniğimizdeki Son 10 Yıllık Laparoskopik Myomektomi ve Abdominal Myomektomi Olgularının Karşılaştırılması

Öz

Amaç: Çalışmamızın amacı kliniğimizde yapılan laparoskopik ve abdominal myomektomilerin karşılaştırılması ve elde edilen veriler ışığında laparoskopik myomektomi işleminin uygulanabilirlik ve güvenilirliğinin değerlendirilmesidir. Materyal ve Metod: 2012-2022 yılları arasında kliniğimizde uterin myom nedeni ile cerrahi tedavi uygulanan toplam 361 hastanın dosyası retrospektif olarak incelendi. Hastalar uygulanan cerrahi yönteme göre 2 gruba ayrıldı. Abdominal myomektomi yapılmış olan 314 hasta, laparoskopik myomektomi uygulanan 47 hasta ile karşılaştırıldı. Bulgular: Gruplar arasında demografik veriler açısından istatistiksel olarak anlamlı farklılık yoktu(p>0.05). Gruplar, postoperatif beyaz küre, hemoglobin, hematokrit, platelet değerleri, operasyon süresi, hastanede yatış süresi, postoperatif kan transfüzyonu ve perioperatif komplikasyonlar açısından değerlendirildiğinde de istatistiksel olarak anlamlı fark izlenmedi(p>0.05). Gruplar arasında preoperatif beyaz küre ve C-Reaktif Protein(CRP) değerleri arasında istatistiksel olarak anlamlı fark gözlenmedi ancak laparoskopik myomektomi grubunda postoperatif beyaz küre ve CRP değerleri daha düşük izlendi(p<0.05). Sonuç: Laparoskopik myomektomide iyileşme süresi kısalığı ve estetik avantaj mevcuttur. Ancak, ekipman ve tecrübeli cerrah gereksinimi uygulanabilirliğini sınırlamaktadır. Laparoskopik teknolojilerin gelişmesi ve cerrahların laparoskopi tecrübelerinin artmasıyla daha az kan kaybı, daha az hastanede kalış süresi, daha kısa operasyon süreleri, daha az travma ve daha iyi kozmetik sonuçlar açısından abdominal yönteme göre ciddi avantaj sağlayacaktır ve tercih edilecektir.

Anahtar Kelimeler

• laparoskopi
• laparotomi
• myomektomi
• komplikasyon

Kaynakça

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