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Laparoscopic Myomectomy Using “Cold” Surgical Instruments for Uterine Corpus Leiomyoma: A Preliminary Report

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To assess the feasibility and safety of laparoscopic myomectomy without coagulation for uterine corpus leiomyoma between 4 and 9 cm in diameter with types 2–5. A total of 109 patients with uterine corpus myoma, single or multiple, between 4 and 9 cm in diameter with types from 2 to 5 were included who underwent laparoscopic myomectomy without using any unipolar or bipolar coagulation. Surgery time, intraoperative blood loss, hemoglobin decline on the first day after surgery and average days of post-operative hospitalization were recorded. The mean operative time was 70 ± 25 min (range 35–140 min). Mean blood loss during operation was 138 ml (range 20–400 ml), mean hemoglobin decline on the first day after surgery was 1.5 ± 0.75 g/dl (range 0–3.2 g/dl), and mean hospitalization time was 3.2 days (range 2–6 days). No patient required a blood transfusion. There were no major post-operative complications. Laparoscopic myomectomy without coagulation is feasible and safe for uterine corpus leiomyoma between 4 and 9 cm in diameter with types 2–5.

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We are grateful to Suneng Fu for English proofreading.

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All of authors declare that they have no competing financial interests.

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Correspondence to Xiaojian Yan.

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Xiaofeng Zhao and Wenjie Zeng have contributed equally to this study.

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Zhao, X., Zeng, W., Chen, L. et al. Laparoscopic Myomectomy Using “Cold” Surgical Instruments for Uterine Corpus Leiomyoma: A Preliminary Report. Cell Biochem Biophys 72, 141–146 (2015).

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