A Retrospective Study of Gasless Laparoscopic Myomectomy Using an Abdominal Wall Lifting System; Analysis of Clinical Data for 4 Years

Objective: We report a retrospective study of myomectomies, especially using the gasless laparoscopic myomectomy with an abdominal wall lifting system.Method: Ninety-four women with subserosal or intramural myomas underwent LM (laparoscopic myomectomy) between 2004 and 2007. The abdominal wall lifting device was used for gasless laparoscopic surgery while partly using conventional surgical instruments.Results: LM was successful in 90 patients: 4 patients (4.3%) had a laparoconversion. The mean size of the myoma was 6.1 cm. The mean number of myomas per patient was 2.8. The mean operating time was 176 minutes. There was no relationship between the number of fibroids and the blood loss. The mean time before conception was 8.1 months, and the spontaneous pregnancy rate was 75.0%.Conclusion: Gasless laparoscopic myomectomy for the removal of subserosal or intramural myomas using an abdominal wall lifting device is feasible and safe.