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Choi, Kim, and Jung: The comparison of clinical features of minilaparoscopic radiofrequency myolysis with laparoscopic-assisted vaginal hysterectomy in the treatment of uterine myoma
Original Article
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(5): 416-421.

Published online: 31 May 2010

DOI: https://doi.org/10.5468/kjog.2010.53.5.416

The comparison of clinical features of minilaparoscopic radiofrequency myolysis with laparoscopic-assisted vaginal hysterectomy in the treatment of uterine myoma

Ji Hyun Choi, M.D., Soo Ah Kim, M.D., Hyuk Jung, M.D.

Department of Obstetrics and Gynecology, Chosun University School of Medicine, Gwangju, Korea.

Corresponding author (bimilo@hanmail.net)

Received 15 September 2009       Accepted 8 April 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

Objective

To compare clinical features of minilaparoscopic radiofrequency myolysis (MLRFM) with laparoscopic-assisted vaginal hysterectomy (LAVH) in the treatment of uterine myoma.

Methods

Between 1st January 2006 and 31th March 2009, 125 patients underwent LAVH and 125 patients underwent MLRFM by same surgeon at the University of Chosun Hospital, Department of Gynecology. We compared the age of patients, indication for treatment, myoma size, major symptom, duration of procedure, amounts of blood loss and postoperative transfusion, length of hospital day, postoperative complication and satisfaction between the two groups.

Results

There were significant differences in duration of procedure between the LAVH group and the MLRFM group (69.0±31.6 minutes vs 43.5±19.8 minutes) and in the amounts of blood loss during procedure (215.2±215.0 mL vs 0.8±8.9 mL). The amounts of postoperative transfusion was 0.3±0.7 pints, 16 of the 125 (12.8%) for the LAVH group and no one underwent postoperative transfusion for the MLRFM group. There was significant difference in length of postoperative hospital day between the LAVH group and the MLRFM group (5.0±1.2 days vs 2.3±1.2 days). In the comparison of postoperative complications, there was no significant complication for the LAVH group, but there was major complications requiring readmission and reoperation for the MLRFM group. In MLRFM group, postoperative myoma size decreased compared to preoperative size.

Conclusion

We conclude that there was no treatment of choice in uterine myoma. When considering treatment of uterine myoma, we should choose appropriate method after analyzing patient characteristics, general condition, uterine myoma characteristics case by case.

Keywords: Minilaparoscopic radiofrequency myolysis

Figures and Tables

Table 1
Patient's characteristics
kjog-53-416-i001

LAVH: laparoscopic assisted vagina hysterectomy, MLRFM: minilaparoscopic radiofrequency myolysis, NS: not significant.

Table 2
Major symptom
kjog-53-416-i002

LAVH: laparoscopic assisted vagina hysterectomy, MLRFM: minilaparoscopic radiofrequency myolysis.

Table 3
Outcome of operation
kjog-53-416-i003

LAVH: laparoscopic-assisted vagina hysterectomy, MLRFM: minilaparoscopic radiofrequency myolysis.

Table 4
Postoperative complication
kjog-53-416-i004

LAVH: laparoscopic assisted vagina hysterectomy, MLRFM: minilaparoscopic radiofrequency myolysis.

Table 5
Satisfaction after operation*
kjog-53-416-i005

LAVH: laparoscopic assisted vagina hysterectomy, MLRFM: minilaparoscopic radiofrequency myolysis.

*P=0.30.

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