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| Feasibility Analysis of Transvaginal Posterior Fornix Extraction of Myomas after Laparoscopic Myomectomy |
| ZHOU Meinong |
| Department of Gynecology,Shimen County People's Hospital,Changde Hunan 415300 |
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Abstract 【Objective】To investigate the feasibility of extracting myomas via the transvaginal posterior fornix after laparoscopic myomectomy. 【Methods】 A total of 120 patients who underwent myomectomy in our hospital from January 2022 to December 2024 were selected as the study subjects. Based on the patients' voluntary choice of surgical method, they were divided into Group A, Group B, and Group C, with 40 patients in each group. In Group A, after laparoscopic myomectomy, the myomas were placed into the plastic packaging bag of a disposable suction device. Then, the posterior vaginal fornix was incised, the plastic bag was grasped, and the myomas were tractioned out. In Group B, after laparoscopic myomectomy, the puncture port was enlarged, and a morcellator was used to cut the myomas into small strips, which were then extracted through the puncture port. In Group C, patients underwent open abdominal myomectomy. The completion status of the surgery, operation time, intraoperative blood loss, scar size, incidence of postoperative complications, and Visual Analogue Scale (VAS) scores at 24 hours and 7 days postoperatively were compared among the groups.【Results】All surgeries were completed according to the preoperatively planned methods. The operation time in Group A was shorter than that in Groups B and C (P<0.05), but there was no statistically significant difference between Groups B and C (P>0.05). Intraoperative blood loss in Group A was less than that in Groups B and C (P<0.05), and blood loss in Group B was less than that in Group C (P<0.05). Scar size in Group A was smaller than that in Groups B and C (P<0.05), and scar size in Group B was smaller than that in Group C (P<0.05). VAS scores at 24 hours and 7 days postoperatively in Group A were lower than those in Groups B and C (P<0.05), and VAS scores in Group B were lower than those in Group C (P<0.05). There was no statistically significant difference in the incidence of postoperative complications among the three groups (P>0.05). 【Conclusion】 Extracting myomas via the transvaginal posterior fornix after laparoscopic myomectomy is a feasible surgical approach, characterized by shorter operation time, less blood loss, smaller scars, and milder pain. It aligns with the principles of minimally invasive surgery and oncological safety (no-tumor principle).
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Received: 18 June 2025
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2025, Vol. 42 
