ABSTRACT

Abdominal Versus Laparoscopic Myomectomy The first randomized controlled trial comparing abdominal and laparoscopic myomectomy was published in 1996 (81) and found less postoperative pain, shorter hospitalization, and shorter recovery time after laparoscopic surgery-known advantages of laparoscopic access. Two case-control studies also found laparoscopic myomectomy to be associated with less postoperative pain and shorter hospitalization; however operative time was significantly longer in the laparoscopic myomectomy groups and in one report was associated with greater blood loss (82,83).