{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:17:43Z","timestamp":1787840263849,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Laparoscopic myomectomy (LM) is a preferred alternative to abdominal myomectomy due to shorter hospitalization, faster recovery, and decreased intraoperative adhesions. The criteria, however, which constitute proper selection of patients for LM, are still a matter of debate. Since conversion to either laparoscopic-assisted myomectomy (LAM) or laparotomy (EL) entails longer time and increased costs compared to performing an open procedure from the outset, this research aims to evaluate size, location, and type of myoma as predictors for LM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>Inpatient medical records of all women who underwent LM from January 2014 to August 2016 were retrieved and reviewed. Demographic data, intraoperative records, and postoperative course were obtained. The association of size, type, and location of myomas to the procedure performed was analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no significant association between the size of the myoma or its location to the procedure performed. However, intramural and subserous myomas were associated with successful LM, while submucous myomas were associated with conversion to either LAM or EL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>LM is a difficult procedure that challenges even the most skilled laparoscopic surgeon. Proper patient selection lessens complications and decreases the risk of conversion. In this study, type of myoma may be a good predictor for successful LM; however, this conclusion may be limited by the small sample size. A large-scale multicentric prospective study is necessary to validate the role of the proposed predictors to prevent unplanned conversion to an open procedure and reduce cost and increase safety of LM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_12_18","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T02:27:04Z","timestamp":1525314424000},"page":"61-65","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Size, Type, and Location of Myoma as Predictors for Successful Laparoscopic Myomectomy: A Tertiary Government Hospital Experience"],"prefix":"10.4103","volume":"7","author":[{"given":"Mikaela Erlinda G.","family":"Martinez","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of the Philippines, Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madonna Victoria C.","family":"Domingo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of the Philippines, Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,5,2]]},"reference":[{"key":"R1-20250603","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s00404-014-3289-2","article-title":"Limits and complications of laparoscopic myomectomy: Which are the best predictors? A large cohort single-center experience","volume":"290","author":"Saccardi","year":"2014","journal-title":"Arch Gynecol Obstet"},{"key":"R2-20250603","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1093\/humrep\/12.9.1927","article-title":"Laparoscopic myomectomy: Indications, surgical technique and complications","volume":"12","author":"Seinera","year":"1997","journal-title":"Hum Reprod"},{"key":"R3-20250603","first-page":"CD004638","article-title":"Minimally invasive surgical techniques versus open myomectomy for uterine fibroids","volume":"10","author":"Bhave Chittawar","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"R4-20250603","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/S1028-4559(09)60321-1","article-title":"Laparoscopic myomectomy","volume":"48","author":"Lee","year":"2009","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R6-20250603","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1093\/humrep\/16.8.1726","article-title":"Laparoscopic myomectomy: Predicting the risk of conversion to an open procedure","volume":"16","author":"Dubuisson","year":"2001","journal-title":"Hum Reprod"},{"key":"R7-20250603","doi-asserted-by":"crossref","first-page":"2663","DOI":"10.1093\/humrep\/15.12.2663","article-title":"Fertility and obstetric outcome after laparoscopic myomectomy of large myomata: A randomized comparison with abdominal myomectomy","volume":"15","author":"Seracchioli","year":"2000","journal-title":"Hum Reprod"},{"key":"R8-20250603","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.jmig.2008.01.009","article-title":"Laparoscopic myomectomy: Do size, number, and location of the myomas form limiting factors for laparoscopic myomectomy?","volume":"15","author":"Sinha","year":"2008","journal-title":"J Minim Invasive Gynecol"},{"key":"R9-20250603","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.jmig.2011.09.005","article-title":"American Association of Gynecologic Laparoscopists (AAGL): Advancing Minimally Invasive Gynecology Worldwide. AAGL practice report: Practice guidelines for the diagnosis and management of submucous leiomyomas","volume":"19","year":"2012","journal-title":"J Minim Invasive Gynecol"},{"key":"R10-20250603","first-page":"89","article-title":"The indications, surgical techniques, and limitations of laparoscopic myomectomy","volume":"7","author":"Takeuchi","year":"2003","journal-title":"JSLS"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01798790-201807020-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:18:53Z","timestamp":1787836733000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01798790-201807020-00003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_12_18","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4]]}}}