Clinical analysis of 24 cases of laparoscopic enucleation for myoma in broad ligament of uterus

Objective To explore the feasibility of laparoscopic enucleation for myoma in broad ligament of uterus.Methods Twenty-four cases having received laparoscopic enucleation for myoma in broad ligament of uterus were collected and analyzed.Results All were completed with laparoscope,but one patient was converted to open surgery to stop bleeding because of uterine artery injury.No ureteral injury occurred.The average operative time was(142.5±61.6)minutes and the average blood loss volume was(245.3±312.0)ml.The blood loss volume was more than 500 ml in four cases and was 1 300 ml in one.The postoperative hospital stay was five to seven days.Conclusion Laparoscopic nucleation for broad ligament of uterus is safe,effective and minimally invasive.The key point during the operation is to distinguish the anatomical relations among the myoma,ureter and uterine artery.