Application of Trans-umbilical Paring and Retrieving Techniques in Laparoscopic Myomectomy
Background: To investigate the safety and effectiveness of Trans-umbilical Paring and Retrieving Techniques (TPRT) in conventional laparoscopic surgery (CLS).
Methods: From July 2020 and October 2021, referring to the establishment and repair technology of trans-umbilical laparoendoscopic single site surgery (TU-LESS), TPRT was applied in 111 cases of conventional laparoscopic myomectomy. The operation procedures include ordinary laparoscopic myomectomy and uterine suture, placing the endoscopic bag, bagging tumour, producing the umbilical incision, paring and retrieving tumour and repairing the umbilical incision. Under direct vision, the tumour in the specimen bag was removed by clamping, pulling and reducing through the umbilical incision.
Results: All operations were completed successfully. The average number of leiomyomas removed was 1.94 (range, 1–11). The mean tumour weight was 155.45 g (range, 40–665). The mean total time of tumour removal process from placing the endoscopic bag and repairing the umbilical incision was 12.60 min (range, 6–28). The mean VAS scores evaluated 1 day postoperatively was 2.59 (range, 1–4). Most pathology revealed benign leiomyoma. No malignancy occurred in any of the cases. A total of 111 cases were followed up through outpatient visits or by telephone and the average follow- up time was 7.55 months (range, 1–16). The umbilical incisions healed well and there were no complaints of umbilical discomfort.
Conclusion: Trans-umbilical Paring and Retrieving Techniques is safe, time saving, cost-efficient, and easy to learn.