Comparison of laparoscopic enclosed electromechanical morcellation and vaginal enclosed scalpel morcellation at laparoscopic myomectomy: A prospective randomized trial

dc.authoridökmen, fırat/0000-0001-7731-0814
dc.authoridsahin, cagdas/0000-0001-7346-3987
dc.authorwosidökmen, fırat/GQQ-3216-2022
dc.authorwosidsahin, cagdas/A-4180-2019
dc.contributor.authorAkdemir, Ali
dc.contributor.authorArı, Sabahattin A. A.
dc.contributor.authorTaylan, Enes
dc.contributor.authorÖkmen, Fırat
dc.contributor.authorŞahin, Çağdaş
dc.date.accessioned2023-03-22T19:47:23Z
dc.date.available2023-03-22T19:47:23Z
dc.date.issued2023
dc.departmentBelirleneceken_US
dc.description.abstractAimThis study aimed to compare the laparoscopic-enclosed electromechanical morcellation (LEM) with vaginal-enclosed scalpel morcellation (VSM) in laparoscopic myomectomy procedures. MethodsOne hundred eighteen patients who underwent laparoscopic myomectomy were enrolled the prospective randomized interventional clinical study in tertiary university hospital. After myomectomy, tissue removal was accomplished via either LEM using the in-glove morcellation technique or VSM. ResultsThe median tissue removal time was longer in the LEM group (25 min [range: 14-55]) than the VSM group (20 min [range: 6-38] [p = 0.001]). Rescue analgesia requirement was significantly higher in the LEM group than the VSM group (mean rank: 56.92 vs. 40.92 doses, respectively; p < 0.001). There was no significant difference between preoperative and postoperative third month total scores of female sexual function index (FSFI) and subdomains in the LEM group. Conversely, all subdomains and total scores of FSFI (26.5 [16.7-34.8] vs. 22.7 [15.2-28.7]) except pain significantly worsened 3 months after operation in the VSM group. ConclusionsLEM was associated with a longer tissue removal time and increased postoperative analgesic requirement. On the other hand, VSM was associated with worsened postoperative sexual function from baseline.en_US
dc.identifier.doi10.1111/jog.15507
dc.identifier.endpage700en_US
dc.identifier.issn1341-8076
dc.identifier.issn1447-0756
dc.identifier.issue2en_US
dc.identifier.pmid36420685en_US
dc.identifier.scopus2-s2.0-85142604345en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage691en_US
dc.identifier.urihttps://doi.org/10.1111/jog.15507
dc.identifier.urihttps://hdl.handle.net/20.500.14034/668
dc.identifier.volume49en_US
dc.identifier.wosWOS:000889237000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.journalJournal Of Obstetrics And Gynaecology Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectenclosed morcellationen_US
dc.subjectfibroiden_US
dc.subjectmyomectomyen_US
dc.subjectsexual functionen_US
dc.subjecttissue removalen_US
dc.subjectUterine Myomasen_US
dc.titleComparison of laparoscopic enclosed electromechanical morcellation and vaginal enclosed scalpel morcellation at laparoscopic myomectomy: A prospective randomized trialen_US
dc.typeArticleen_US

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