{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:47:11Z","timestamp":1791632831696,"version":"4.3.4"},"reference-count":72,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>Myomectomy aims to preserve fertility, treat abnormal uterine bleeding, and alleviate pain. It should cause minimal damage to the endometrium, while being tolerable and durable, and reduce the incidence of myoma recurrence and complications including bleeding, hematoma, adhesions, and gravid uterus perforation. Training and experience are crucial to reduce complications. The surgical strategy depends on imaging information on the myomas. The position of the optical and secondary ports will determine the degree of ergonomic surgery performance, time and difficulty of myoma enucleation, and the suturing quality. Appropriate hysterotomy length relative to myoma size can decrease bleeding, coagulation, and suturing times. Bipolar coagulation of large vessels, while avoiding carbonization and myometrium gaps after suturing, may decrease the risk of myometrial hematoma. Quality surgery and the use of antiadhesive barriers may reduce the risk of postoperative adhesions. Slow rotation of the beveled morcellator and good control of the bag could reduce de novo myoma and endometriosis. Low intra-abdominal CO<jats:sub>2<\/jats:sub> pressure may reduce the risk of benign and malignant cell dissemination. The benefits a patient gains from laparoscopic myomectomy are greater than the complication risks of laparoscopic morcellation. Recent publications on laparoscopic myomectomies demonstrate reduced hospitalization stays, postoperative pain, blood loss, and recovery compared to open surgery.<\/jats:p>","DOI":"10.1155\/2018\/8250952","type":"journal-article","created":{"date-parts":[[2018,3,5]],"date-time":"2018-03-05T18:32:46Z","timestamp":1520274766000},"page":"1-9","source":"Crossref","is-referenced-by-count":60,"title":["Prevention and Management of Complications in Laparoscopic Myomectomy"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4695-4630","authenticated-orcid":true,"given":"V.","family":"Tanos","sequence":"first","affiliation":[{"name":"University of Nicosia Medical School, Nicosia, Cyprus"},{"name":"European Academy for Gynecological Surgery (Nicosia Branch), 55-57 Andrea Avraamidi St., Strovolos, 2024 Nicosia, Cyprus"},{"name":"Aretaeio Hospital, Strovolos, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. E.","family":"Berry","sequence":"additional","affiliation":[{"name":"St George\u2019s, University of London MBBS Programme at the University of Nicosia Medical School, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Frist","sequence":"additional","affiliation":[{"name":"St George\u2019s, University of London MBBS Programme at the University of Nicosia Medical School, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Campo","sequence":"additional","affiliation":[{"name":"European Society Gynaecological Endoscopy, Leuven, Belgium"},{"name":"The European Academy for Gynecological Surgery, Leuven, Belgium"},{"name":"Life Expert Centre, Schipvaartstraat 4, 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. L.","family":"DeWilde","sequence":"additional","affiliation":[{"name":"European Society Gynaecological Endoscopy, Leuven, Belgium"},{"name":"Cahir Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/01.grf.0000159538.27221.8c"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/01.aog.0000136079.62513.39"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(15)30318-2"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-2181-8"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.12.003"},{"issue":"2","key":"6","first-page":"111","volume":"8","year":"2016","journal-title":"Facts, Views & Visions in OBGYN"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/17.5.1334"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.03.009"},{"issue":"1","key":"9","first-page":"79","volume":"24","year":"2003","journal-title":"European Journal of Gynaecological Oncology"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/791248"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.01.013"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2008.01.009"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000204321.85599.0d"},{"key":"66","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60145-4"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/des212"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/gco.0b013e328348a245"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01191.x"},{"key":"17","first-page":"10","volume":"577","year":"1997","journal-title":"The European Journal of Surgery. Supplement"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1186\/s10397-017-1025-1"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.4103\/0974-1208.183509"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.09.028"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.2013.56.6.375"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-016-0987-8"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13541"},{"key":"67","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.09.014"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2006.09.008"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1186\/s10397-017-1027-z"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.05.095"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01453.x"},{"key":"68","first-page":"123","volume":"15","year":"2006","journal-title":"Surgical Technology International"},{"key":"69","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2012.762348"},{"issue":"7","key":"70","first-page":"705","volume":"24","year":"1995","journal-title":"Journal de Gyn\u00e9cologie Obst\u00e9trique et Biologie de la Reproductionor Journal of Gynecology Obstetrics and Human Reproduction (Paris)"},{"key":"71","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-014-3289-2"},{"key":"72","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e31827f2496"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1002\/gcc.20824"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-014-0876-y"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-015-0878-4"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.08.781"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/16.4.770"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/16.8.1726"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.06.004"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000421"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.08.408"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0387"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1007\/s11930-014-0029-3"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-199206000-00018"},{"issue":"5","key":"40","first-page":"736","volume":"82","year":"1993","journal-title":"Obstetrics & Gynecology"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70226-8"},{"key":"42","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20075"},{"key":"43","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2007.00818.x"},{"key":"44","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20386"},{"key":"45","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(97)00211-X"},{"key":"46","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-222"},{"issue":"3","key":"47","first-page":"414","volume":"83","year":"1994","journal-title":"Obstetrics & Gynecology"},{"key":"48","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(00)01556-9"},{"key":"49","doi-asserted-by":"publisher","DOI":"10.1159\/000293278"},{"key":"50","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2016.04.002"},{"key":"51","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2016.43"},{"key":"52","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000208"},{"key":"53","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2014.09.009"},{"key":"54","doi-asserted-by":"publisher","DOI":"10.2217\/whe.15.89"},{"issue":"5","key":"55","first-page":"377","volume":"39","year":"1994","journal-title":"Obstetrics, Gynaecology and Reproductive Medicine"},{"key":"56","doi-asserted-by":"publisher","DOI":"10.1080\/13645700310023050"},{"key":"57","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.02.010"},{"key":"58","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.03.020"},{"key":"59","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.09.002"},{"issue":"2","key":"60","first-page":"210","volume":"40","year":"2013","journal-title":"Clinical and Experimental Obstetrics & Gynecology"},{"key":"61","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-012-0764-2"},{"key":"62","doi-asserted-by":"publisher","DOI":"10.4103\/0974-1216.85275"},{"key":"63","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000475.pub3"},{"key":"64","doi-asserted-by":"publisher","DOI":"10.4103\/0974-1216.85272"},{"key":"65","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-016-0957-1"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/8250952.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/8250952.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/8250952.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,3,5]],"date-time":"2018-03-05T18:32:48Z","timestamp":1520274768000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2018\/8250952\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":72,"alternative-id":["8250952","8250952"],"URL":"https:\/\/doi.org\/10.1155\/2018\/8250952","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}