chapter  31
Laparoscopic myomectomy
ByCharles E Miller
Pages 8

Over 75 years ago, the distinguished gynecologic surgeon Victor Bonney, 1 reported on 210 cases presenting with menorrhagia and uterine leiomyomata. Postmyomectomy via laparotomy, less than 5% of patients had recurrent symptoms. Fifty years later, Robert Neuwirth outlined the use of the hysteroscopic resectoscope for the treatment of submucosal uterine leiomyomata causing abnormal uterine bleeding. 9

Although the laparoscope has been utilized for myomectomy for 25 years, 10 little is written specifically on the impact of laparoscopic myomectomy on menometrorrhagia. Despite this, the author has been effectively treating abnormal bleeding secondary to type II submucosal and intramural leiomyomata via laparoscopic myomectomy for 18 years.