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Tang. Mini-invasive Surg 2020;4:24 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.60

Original Article Open Access

Single-port laparoscopic myomectomy in the virgin
womb - a retrospective analysis of 31 consecutive

cases

Feng-Hsiang Tang 1,2,3

1 Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung 807378, Taiwan.
2 Department of Obstetrics and Gynecology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung 801735, Taiwan.
3 Graduate Institute of Clinical Medicine, Kaohsiung Medical University, Kaohsiung 807378, Taiwan.

Correspondence to: Dr. Feng-Hsiang Tang, Department of Obstetrics and Gynecology, Kaohsiung Municipal Ta-Tung Hospital,
No. 68, Zhonghua 3rd Rd., Qianjin Dist., Kaohsiung 801735, Taiwan. E-mail: tangfs88@gmail.com

How to cite this article: Tang FH. Single-port laparoscopic myomectomy in the virgin womb - a retrospective analysis of 31
consecutive cases. Mini-invasive Surg 2020;4:24. http://dx.doi.org/10.20517/2574-1225.2019.60

Received: 17 Dec 2019 First Decision: 17 Feb 2020 Revised: 7 Mar 2020 Accepted: 10 Mar 2020 Published: 17 Apr 2020
Science Editor: Wei-Min Liu Copy Editor: Jing-Wen Zhang Production Editor: Jing Yu

Abstract
Aim: We aimed to evaluate the feasibility of single-port laparoscopic myomectomy in the virgin womb.

Methods: A retrospective chart review of 31 consecutive cases between November 2017 and October 2019
performed by a single surgeon was performed.

2
Results: The mean age of patient was 50.10 ± 7.79 years old. The mean BMI was 23.55 ± 4.36 kg/m . The mean
number of myoma in single patient was 3.84 ± 2.45 pieces. The mean maximum diameter of myoma in single
patient was 11.24 ± 3.27 cm. The mean operation time was 182.32 ± 52.39 min. The mean blood loss was 231.77 ±
238.90 mL. The Visual Analogue Score (VAS) of pain when immediately arriving at the ward after operation was
2.32 ± 1.60. The VAS after 24 h dropped to 1.23 ± 1.43. In total, 119 myomas were removed in our study. There were
15 (48.4%) women with more than four myomas. Fifteen (48.4%) women had more than two myomas that were
> 5 cm. There were 58 (48.74%) intramural myomas, with mean diameter of 6.72 ± 4.41 cm. Fifty-two (43.70%)
subserous type myoma were removed with mean diameter 2.58 ± 3.35 cm. Posterior myoma accounted for five
(4.20%) pieces with mean diameter of 9.30 ± 4.49 cm. The broad ligament type myoma accounted for four pieces
(3.36%), and the mean diameter was 3.74 ± 1.87 cm. There were 51 (42.9%) myomas > 5 cm in diameter. Among
the different types of myoma, there were 36 (62.1%) intramural type and 6 (11.5%) subserous type, and all posterior
and broad ligament type were > 5 cm in diameter. The blood loss and operation time showed no relationship to

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
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