Myomectomy operation due to myoma uteri is an operation that can cause serious blood loss. For some anatomical reasons, fundal myomas were removed, while a group of investigators recommended the initiation of a longitudinal incision and some surgeons preferred a transverse incision. the authors aim to show some surgical differences, intraoperative blood loss, and difficulties and ease of removal of myoma in patients with these approaches without consensus. It is also noted that the incision made with the same energy modality is recorded; The effect of energy modality on blood loss and surgical comfort will be examined. Different approaches are used for laparoscopic surgical operations in order to remove myoma from the abdomen. It can be removed from the vagina by colpotomy and can also be minimized in the abdomen by a morselator. In particular, patients with vaginal myoma removed, such as complaints of postoperative dyspareunia will be followed. In this way, the investigators aim to evaluate the methods which have not yet gained clarity in the literature or have not proven superiority to each other.
Study Type
OBSERVATIONAL
Enrollment
80
Patients undergoing myomectomy for myoma uteri
Kanuni Sultan Süleyman Training and Research Hospital
Istanbul, Turkey (Türkiye)
Fundus Incision
In patients undergoing myomectomy, the incision used by the surgeon will be recorded to remove myoma. to be recorded as transverse or vertical.
Time frame: 3 months
Energy Modalities
In patients undergoing myomectomy, the energy modality used by the surgeon will be recorded to remove the myoma. bipolari, monopolar or ultrasonic
Time frame: 3 months
Methods of Extraction
In patients undergoing myomectomy operation, the method used by the surgeon to remove myoma from the abdomen will be recorded. morselator, vaginally with colpotomi
Time frame: 3 months
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