Accepted Manuscript Surgical outcomes of a new approach of laparoscopic myomectomy: single port and modified suture technique Chel-Hun Choi, Tae-Hyun Kim, Seo-Hee Kim, June-Kuk Choi, Jin-Young Park, Aera Yoon, Yoo-Young Lee, Tae-Joong Kim, Jeong-Won Lee, Byoung-Gie Kim, Duk-Soo Bae PII:
S1553-4650(13)01555-0
DOI:
10.1016/j.jmig.2013.12.096
Reference:
JMIG 2214
To appear in:
The Journal of Minimally Invasive Gynecology
Received Date: 23 October 2013 Revised Date:
14 December 2013
Accepted Date: 16 December 2013
Please cite this article as: Choi CH, Kim TH, Kim SH, Choi JK, Park JY, Yoon A, Lee YY, Kim TJ, Lee JW, Kim BG, Bae DS, Surgical outcomes of a new approach of laparoscopic myomectomy: single port and modified suture technique, The Journal of Minimally Invasive Gynecology (2014), doi: 10.1016/ j.jmig.2013.12.096. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
1
ACCEPTED MANUSCRIPT 1
Surgical outcomes of a new approach of laparoscopic myomectomy: single port and
2
modified suture technique
3
Chel-Hun Choi†, Tae-Hyun Kim†, Seo-Hee Kim, June-Kuk Choi, Jin-Young Park, Aera Yoon,
5
Yoo-Young Lee, Tae-Joong Kim, Jeong-Won Lee, Byoung-Gie Kim and Duk-Soo Bae*
RI PT
4
6
Department of Obstetrics & Gynecology, Samsung Medical Center, Sungkyunkwan
8
University School of Medicine, Seoul, Korea
10
†
M AN U
9
The authors consider that the first two authors should be regarded as joint First Authors.
11 12
SC
7
Running head: A new approach of LM: SPA and modified suture
TE D
13 14
*Correspondence address. Duk-Soo Bae, M.D. Ph.D.
16
Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan
17
University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135-710, Korea.
18
Tel: +82-2-3410-3519; Fax: +82-2-3410-0630; E-mail: [email protected]
AC C
EP
15
2
ACCEPTED MANUSCRIPT Abstract
20
Objective: To introduce a new technique of laparoscopic myomectomy (LM) using single
21
port access and modified suture technique.
22
Methods: During October 2011 and December 2012, 55 consecutive patients underwent
23
single-port LM with modified suture technique using Hem-o-lock ligation clip and myoma
24
morcellation through the umbilical incision site (Choi’s LM). As a historic control, patients
25
who underwent conventional multi-port LM from Jan 2008 through Nov 2010 were included
26
in the study. The electronic chart reviews of the 157 patients (55 Choi’s LM and 102 LM)
27
were done retrospectively. The inclusion criteria were symptomatic myomas measuring 10
28
cm or less and the number of myomas less than 3. The outcomes measured were operative
29
time, estimated blood loss, complications, length of postoperative hospital stay and
30
postoperative pain.
31
Results: Age, symptoms resulting from the myomas, location and type of the dominant
32
myomas, and number of myomas were similar in the 2 groups. There were no significant
33
differences concerning the mean diameter (6.8 cm versus 7.0 cm; P=0.40) of the myomas
34
between the groups. The mean duration of the operation was shorter (104 min vs. 152 min;
35
P
S1553-4650(13)01555-0
DOI:
10.1016/j.jmig.2013.12.096
Reference:
JMIG 2214
To appear in:
The Journal of Minimally Invasive Gynecology
Received Date: 23 October 2013 Revised Date:
14 December 2013
Accepted Date: 16 December 2013
Please cite this article as: Choi CH, Kim TH, Kim SH, Choi JK, Park JY, Yoon A, Lee YY, Kim TJ, Lee JW, Kim BG, Bae DS, Surgical outcomes of a new approach of laparoscopic myomectomy: single port and modified suture technique, The Journal of Minimally Invasive Gynecology (2014), doi: 10.1016/ j.jmig.2013.12.096. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
1
ACCEPTED MANUSCRIPT 1
Surgical outcomes of a new approach of laparoscopic myomectomy: single port and
2
modified suture technique
3
Chel-Hun Choi†, Tae-Hyun Kim†, Seo-Hee Kim, June-Kuk Choi, Jin-Young Park, Aera Yoon,
5
Yoo-Young Lee, Tae-Joong Kim, Jeong-Won Lee, Byoung-Gie Kim and Duk-Soo Bae*
RI PT
4
6
Department of Obstetrics & Gynecology, Samsung Medical Center, Sungkyunkwan
8
University School of Medicine, Seoul, Korea
10
†
M AN U
9
The authors consider that the first two authors should be regarded as joint First Authors.
11 12
SC
7
Running head: A new approach of LM: SPA and modified suture
TE D
13 14
*Correspondence address. Duk-Soo Bae, M.D. Ph.D.
16
Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan
17
University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135-710, Korea.
18
Tel: +82-2-3410-3519; Fax: +82-2-3410-0630; E-mail: [email protected]
AC C
EP
15
2
ACCEPTED MANUSCRIPT Abstract
20
Objective: To introduce a new technique of laparoscopic myomectomy (LM) using single
21
port access and modified suture technique.
22
Methods: During October 2011 and December 2012, 55 consecutive patients underwent
23
single-port LM with modified suture technique using Hem-o-lock ligation clip and myoma
24
morcellation through the umbilical incision site (Choi’s LM). As a historic control, patients
25
who underwent conventional multi-port LM from Jan 2008 through Nov 2010 were included
26
in the study. The electronic chart reviews of the 157 patients (55 Choi’s LM and 102 LM)
27
were done retrospectively. The inclusion criteria were symptomatic myomas measuring 10
28
cm or less and the number of myomas less than 3. The outcomes measured were operative
29
time, estimated blood loss, complications, length of postoperative hospital stay and
30
postoperative pain.
31
Results: Age, symptoms resulting from the myomas, location and type of the dominant
32
myomas, and number of myomas were similar in the 2 groups. There were no significant
33
differences concerning the mean diameter (6.8 cm versus 7.0 cm; P=0.40) of the myomas
34
between the groups. The mean duration of the operation was shorter (104 min vs. 152 min;
35
P
