BRIEF RESEARCH REPORT article
Front. Surg.
Sec. Obstetrics and Gynecological Surgery
This article is part of the Research TopicMinimally Invasive Options for Uterine Fibroid ManagementView all 4 articles
Laparotomic versus Laparoscopic Myomectomy: Surgical Outcomes from a Tertiary Center Retrospective Study
Provisionally accepted
Figen Efe Çamili1,2*
tuba bozhüyük şahin2ezgi tolu cenk2
Selim Afsar2gürhan güney2mine islimye taşkın2- 1Department of Internal Medicine, Faculty of Medicine, Balıkesir University, Balıkesir, Türkiye
- 2Balikesir Universitesi, Balikesir, Türkiye
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Objective:This study aimed to retrospectively analyze myomectomy cases performed in our clinic using laparotomic and laparoscopic techniques, and to compare the effects of both surgical approaches on clinical and surgical outcomes.Materials and Methods:Patient records of myomectomy operations performed between 2015 and 2025 at the Department of Obstetrics and Gynecology, Balıkesir University Faculty of Medicine, were reviewed.A total of 213 patients were included, comprising 140 laparoscopic and 73 laparotomic cases.The data such as patient age, number and size of removed myomas, preoperative and postoperative hemoglobin levels, postoperative additional analgesic requirements, length of hospital stay and complication rates analyzed to evaluate the advantages of each method in terms of patient comfort and surgical efficacy.Results:The mean age of patients undergoing laparoscopic myomectomy was significantly higher than those in the laparotomic group (p<0.001).The laparoscopic group demonstrated a significantly shorter hospital stay compared to the laparotomic group (p<0.001). Pre- and postoperative hemoglobin levels did not differ significantly between the groups. The number of removed myomas was similar;however,the mean myoma diameter was significantly larger in the laparotomic group(p<0.001).Postoperative opioid use was significantly higher in the laparotomic group(p=0.01).Larger and more numerous myomas were independently associated with a higher likelihood of laparotomy over laparoscopy (p<0.001).Among laparoscopic cases, only four required conversion to laparotomy (%2,9) and a single bladder injury was observed.Conclusion:Laparoscopic myomectomy provides shorter hospital stays, reduced postoperative opioid use and faster recovery compared to open surgery, with similar safety.The choice of surgical approach should be tailored to the patient, taking into account the characteristics of the myoma.
Keywords: Laparoscopy, Laparotomy, Myomectomy, postoperative outcomes, uterine myoma
Received: 19 Oct 2025; Accepted: 11 Dec 2025.
Copyright: © 2025 Efe Çamili, bozhüyük şahin, tolu cenk, Afsar, güney and islimye taşkın. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Figen Efe Çamili
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