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| The Feasibility and Impact on Recurrence of Multiple Uterine Fibroids Removal Using Finger Assisted Method Combined with Modified Single Port Laparoscopic Surgery via Umbilical Cord |
| ZHOU Ning, YAN Jialing, HU Xiaoning, et al |
| Department of Trauma and Hand and Foot Surgery , Shandong Province Third Hospital, Jinan Shandong 250031 |
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Abstract 【Objective】To explore the feasibility of finger assisted method combined with transumbilical modified single port laparoscopic removal of multiple uterine fibroids and its impact on recurrence. 【Methods】A total of 72 patients with multiple uterine fibroids admitted to our hospital from April 2020 to April 2022 were selected and randomly divided into a control group (who underwent modified single port laparoscopic multiple uterine fibroid removal via umbilical cord) and an improved group (who underwent finger assisted method combined with modified single port laparoscopic multiple uterine fibroid removal via umbilical cord) using a random number table method, with 36 cases in each group. Two groups of perioperative conditions, ovarian secretion function indicators, pain scores, and incidence of complications were statistically analyzed. The recurrence rate within one year after surgery was also calculated for both groups. 【Results】The improved group had longer surgical time, postoperative exhaust time, and hospital stay than the control group, and had more intraoperative blood loss than the control group (P<0.05). There was no statistically significant difference in the levels of luteinizing hormone (LH), estradiol (E2), progesterone (P), and follicle stimulating hormone (FSH) between the two groups (P>0.05). After 1 day of surgery, the visual analog score (VAS) of the improved group was higher than that of the control group (P<0.05); After 3 days of surgery, there was no statistically significant difference in VAS scores between the two groups (P>0.05). There was no statistically significant difference in the total incidence of complications between the two groups (P>0.05). The recurrence rate of the improved group was lower than that of the control group (P<0.05). 【Conclusion】The combination of finger assisted method and modified single port laparoscopic removal of multiple uterine fibroids through the navel has a relatively small impact on ovarian function in patients, does not increase the incidence of complications, is feasible, and can reduce the recurrence rate. It is worthy of clinical promotion.
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Received: 27 February 2023
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2024, Vol. 41 
