[Pelviscopic XXXX enucleation: technique, limits, complications].

@entity1 @entity1868 @entity397 @entity548
Between 1992 and 1993 surgery conserving the organ was undertaken in 215 @entity1 with uterine @entity1868 . Only @entity1868 of more than 2 cm in diameter were included. It was possible to conserve the organ in 207 cases (90%). Myomectomy by pelviscopy was performed in 131 cases. The procedure was successful in 117 cases (89%), secondary laparotomy had to be done in 14 of these @entity1 . On average the @entity1868 removed by pelviscopy measured 5.2 cm in diameter. The S.E.M.M. (Serrated Edged Macro Morcellator) was used in the procedure. It did not take long to morecellate even larger @entity1868 (the largest one removed by pelviscopy weighed 418 g) and to remove them by means of a 15 mm-trocar. An average of 2 @entity1868 were removed per @entity1 (r: 1-5). The mean Hb drop amounted to 1.5 g%. Repeat pelviscopy had to be done in one @entity1 because of a secondary @entity548 , a laparotomy and hysterectomy for subilius had to be performed in one case on the 3rd postoperative day. An intestinal loop has adhered to the uterine wound dehiscence. No other complications were observed after pelviscopic myomectomy. A 41-year-old @entity1 wanting @entity1 suffered a late complication, namely a @entity397 in the 28 w of pregnancy. It is therefore imperative to inform @entity1 who are still in the reproductive phase about the possibility of an @entity397 after pelviscopic myomectomy.
