Analysis of 84 Cases Transvaginal Myomectomy among the Patients with Previous Pelvic Surgery

Objective: Discuss the feasibility of transvaginal myomectomy(TVM) used on the patients with previous pelvic surgery desire to reserve their breeding.Methods: From 2003 Jan.to 2006 Jan.We selected 84 patients with previous pelvic surgery but want to reserve reproductive capacity as study group,performed TVM among them.As the same time 168 cases TVM without pelvic surgery were chosen as control group.The birth history and the size of uterus were no difference between two groups.Results: 83 cases of study group successfully completed operations except 1 case of adenomyosis turned into transvaginal hysterectomy.The mean operative time was 58 min and 61 min of study group and control group,respectively(P0.05).The mean hemorrhage was 239 ml in study group and 274 ml of control group(P0.05).The hospitalization time was 4.8 d in study group that higher than the control group(6.2 d)(P0.05).Conclusions: Previous pelvic surgery is not the absolute contraindication of TVM.But TVM assisted by laparoscopy or laparotomy myomectomy is the better way if found uterine fixation before operation.The special deal of the key place could decrease pelvic infection and postoperative morbidity.