A randomized, controlled study comparing minilaparotomy versus isobaric gasless laparoscopic assisted minilaparotomy myomectomy for removal of large uterine myomas: Short-term outcomes

Abstract Objective To compare the operative data and early postoperative outcomes for myomectomy performed by minilaparotomy (MLT) with isobaric laparoscopic assisted minilaparotomy myomectomy (LM) in a series of patients with large uterine myomas (≥5 cm) randomly assigned to each surgical technique. Study design 80 patients were randomized blindly using a computer randomization list to MLT ( n  = 40) or LM ( n  = 40). Results The mean (±SD) operating time was significantly shorter after LM than after MLT (75.50 ± 25.70 vs 96.00 ± 26.20 min; p  p p p  p  p p Conclusions Several surgical and immediate postoperative outcomes were significantly better in the LM group than in the MLT group.