Abstract

Aim: The aim of the study was to evaluate the clinical profile, intraoperative and postoperative outcome of laparoscopic management of patients having lower uterine segment fibroids. Methodology: It was a retrospective study and included forty-two patients over a period of 3 years, who underwent laparoscopic myomectomy for single lower uterine segment myoma. Information was collected from medical records for the clinical profile of the patients, intraoperative findings, postoperative complications and duration of hospital stay. Results: The mean age of the patients in this study was 29.92 ± 4.78 years. Majority of the patients (59.5%) presented with menstrual abnormality in the form of heavy menstrual bleeding. Infertility was present in 28.5% patients. The largest size of the fibroid was 17 cm, with a mean diameter of 10.8 ± 3.9 cm. The mean duration of surgery was 120.12 ± 59.46 minutes with an average blood loss of 53.90 ± 32.5 mL. Average hospital stay was 1.8 days. Conclusion: Laparoscopic myomectomy is a good option for lower segment myomas in expert hands in view of minimal blood loss and shorter hospital stay.