TY - JOUR AU - Andou, Masaaki; Yanai, Shiori; Shirane, Akira; Kanno, Kiyoshi TI - Laparoscopic Myomectomy SN - 2378-5128 SN - 2378-5136 PY - 2020 JO - Surg J (N Y) JF - The Surgery Journal LA - EN VL - 06 IS - S 01 SP - S35 EP - S43 ET - 2020/03/03 DA - 2020/05/11 KW - laparoscopy KW - myomectomy KW - less adhesion KW - intracorporeal suturing KW - specimen extraction KW - fibroids AB - Laparoscopic myomectomy is minimally invasive treatment for patients suffering from fibroids, especially those wishing to maintain their fertility sparing potential. While this surgery requires intensive training in surgical skills such as intracorporeal suturing and specimen extraction, patients can also expect less adhesion and a quick return to normal activity. This surgery can be broken into three stages, each presenting its own specific and unique challenges—enucleation, reapproximation of the myoma bed, and specimen extraction. To prepare for the broad spectrum of cases where the size and number of fibroids can differ greatly, we have mastered several techniques for each stage of the procedure. To keep the surgery safe, we train for unexpected scenarios by practicing minimally invasive repair and reconstruction techniques. By following basic tenets and understanding the laparoscopic anatomy, we define the targets and boundaries of our dissection to ensure completeness. In this paper, techniques for the enucleation, reapproximation, and extraction will be presented in detail. PB - Thieme Medical Publishers DO - 10.1055/s-0039-3401027 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0039-3401027 ER -