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Is laparoscopic myomectomy useful?From: Bernard Cristalli (bclaure@club-internet.fr)Mon Jan 20 11:16:30 1997
Dr. L.K.Yap wrote: > > I would be grateful for the views of members of the list on whether they > would consider laparoscopic myomectomy for intramural fibroids in > potentially fertile women. If so what are your preconditions. > > Thanks, > > Lip Kee As a pretty well trained laparoscopist I think the problem is not the operation it self but its indications. In my opinion laparoscopic myomectomy is a funny-to-perform-operation but not really useful. What is the use of removing little myomas? As for the big myomas, they can't be removed through laparoscopy. They can't be removed safely to leave a functional uterus if they are in the myometrium & if they are subserous the operation is more risky than useful. So if you think a myoma is responsible for an infertility do a *laparotomy* for an interstitial or an hysteroscopy for a sub-mucosal. But except for fun or for sport don't use this technique IMHO.
-- Bernard Cristalli MD CNGOF Paris - France
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