Application of Transumbilical Paring & Retrieving Techniques in Laparoscopic Myomectomy

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Abstract Background To investigate the safety and effectiveness of Transumbilical Paring & Retrieving Techniques(TPRT) in conventional laparoscopic surgery(CLS). Methods From July 2020 and October 2021, referring to the establishment and repair technology of transumbilical laparoendoscopic single site surgery (TU-LESS), TPRT was applied in 111 cases of conventional laparoscopic myomectomy. The operation procedures include ordinary laparoscopic myomectomy and uterine suture, placing the endoscopic bag, bagging tumor, producing the umbilical incision, paring and retrieving tumor and repairing the umbilical incision. Under direct vision, The tumor in the specimen bag was removed by clamping, pulling and reducing through the umbilical incision. Results All operations were completed successfully. the average number of leiomyomas removed was 1.94 (range, 1–11). The mean tumor weight was 155.45g (range, 40–665). The mean total time of tumor removal process from placing the endoscopic bag and repairing the umbilical incision was 12.60min (range, 6–28). The mean VAS scores evaluated 1 day postoperatively was 2.59(range, 1–4). Most pathology revealed benign leiomyoma. No malignancy occurred in any of the cases. A total of 111 cases were followed up through outpatient visits or by telephone, and the average follow-up time was 7.55months (range, 1–16).The umbilical incisions healed well, and there were no complaints of umbilical discomfort. Conclusion Transumbilical Paring & Retrieving Techniques is safe, time saving, cost-efficient, and easy to learn.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.