Electric Motorized Morcellator Versus Transvaginal Extraction for Myoma Retrieval After Laparoscopic Myomectomy: A Propensity-matched Analysis

Abstract Study Objective To compare surgery-related outcomes of electric motorized morcellator (EMM) and transvaginal extraction (TVE) for myoma retrieval after laparoscopic myomectomy. Design A retrospective propensity-matched analysis of prospectively collected data (Canadian Task Force classification II-2). Setting A university teaching hospital. Patients One hundred women undergoing laparoscopic myomectomy. Interventions Laparoscopic myomectomy followed by myoma retrieval via TVE or EMM. Measurements and Main Results Fifty propensity-matched patient pairs (100 patients) undergoing laparoscopic myomectomy followed by myoma retrieval via TVE or EMM were studied. No significant differences were observed in baseline patient characteristics. Operative times were similar between groups (66 vs 73 minutes in the TVE and EMM group, respectively, p = .19). However, patients undergoing TVE experienced lower specimen retrieval time than patients undergoing extraction via EMM (5 [3–30] vs 7 [3–35] minutes, p  Conclusion TVE upholds the effectiveness of EMM, minimizing the operative time and potentially postoperative pain. Further large prospective studies are needed.