Reports from A. Agostini and colleagues advance knowledge in fibroma.(Report)

In this recent report published in the European Journal of Obstetrics Gynecology and Reproductive Biology, researchers in Marseille, France conducted a study "To evaluate the morbidity of vaginal myomectomy by posterior colpotomy. From January 1, 1994, through December 31, 2003, 108 patients in our department underwent a vaginal myomectomy procedure by posterior colpotomy."

"This study assessed the intra-operative (conversion to laparotomy, organ injury, hemorrhage) and postoperative (hematoma, abscess) complications as well as the risk factors for conversion to laparotomy. There were 27 intra- or post-operative complications (25%),17 (15.7%) of which concerned conversion to laparotomy necessary for successful myomectomy. One case involved rectal injury (0.9%), three hemorrhages (2.8%), one hematoma. (0.9%) and five abscesses (4.7%). The mean weight of fibromas was significantly higher in the group of patients undergoing laparotomy (19 cases) than in the vaginal-myomectomy-only group (89 cases) (270 +/- 197 g versus 181 +/- 143 g, p = 0.02). Similarly, the fibroma size measured by ultrasound was higher in the laparotomy group than in the vaginal-myomectomy-only group, but this difference was not significant (82.6 +/- 27.1 turn versus 73.7 +/- 21.8 mm, p = 0.13). The principal risk of vaginal myomectomy is that it will require conversion to ...