View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, Feb. 19 (HealthDay News) -- Two minimally invasive surgical techniques offer good outcomes and better recovery than laparotomy for the treatment of uterine fibroids, according to a study in the February issue of the American Journal of Obstetrics & Gynecology.
Kuo-Chang Wen, M.D., from Taipei Veterans General Hospital in Taiwan, and colleagues compared the long-term efficacy and outcomes of myomectomy in 224 women with uterine fibroids, where 79 women underwent laparotomy, 71 women underwent ultraminilaparotomy (UMLT, defined as having an incision length of less than 4 cm), and 74 women underwent laparoscopically assisted UMLT. All women had fewer than five fibroids less than 8 cm in diameter.
After a median follow-up of 52 months, the researchers found that the recurrence rates were similar in all three groups. Both UMLT approaches had better outcomes, resulting in significantly less postoperative pain and better recovery, including a shorter period of paralytic ileus, faster removal of the closed wound vacuum reservoir, and shorter hospital stay.
"The modified approaches, UMLT and laparoscopically assisted UMLT, are both safe, minimal-access options in place of laparotomy in the successful management of uterine fibroids, since they have the advantage of rapid postoperative recovery," Wen and colleagues conclude.
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top