Is fibroid location associated with hemorrhage and complicat
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Laparoscopic myomectomy is associated with less postoperative pain, analgesic requirement, shorter hospitalization period, and less febrile complications when compared to conventional laparotomy. Despite the advantages, complications like hemorrhage, blood transfusion, bowel and urinary tract injury, and conversion to laparotomy may be seen in laparoscopic myomectomy.To determine whether hemorrhage and complication rates vary according to the location of the dominant fibroid following laparoscopic myomectomy.

Two hundred nineteen women with a mean age of 35.7 years were included. There were 81 women with fundal fibroid, 56 with the anterior wall, and 72 with posterior wall fibroid. The other ten women with intraligamentary and isthmic fibroid were excluded. The mean fibroid diameter was 6.7 ± 2.6, 6.6 ± 2.3, and 6.7 ± 2.3?cm in the fundal, anterior, and posterior groups, respectively. The median (25th–75th percentile) changes in hemoglobin levels were 1.5 (0.8–2.2), 1.3 (0.6–2.1), and 1.3 (0.9–2) g/dl in fundal, anterior, and posterior wall groups, respectively (p = 0.55). There were 5 (6.2%), 5 (8.9%), and 2 (2.8%) complications in fundal, anterior, and posterior wall groups, respectively.

In conclusion, this study is the first study which showed that fibroid location does not affect hemorrhage and complication rates. Other factors like fibroid size, suturation technique and material, and surgeon’s experience may affect the hemorrhage and complication rates. Due to our small sample size and retrospective design, our results should be assessed by larger prospective trials.

Source:https://docs.google.com/document/d/1pe_sZo2TngoAHgvHpEUZWs9tkrzQk0GJx8Gk7V4tPMc/edit#
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