Evidence map›Paper›PMID 39249518›Full record

ArticleArchives of gynecology and obstetrics2025

Factors affecting gasless reduced-port laparoscopic myomectomy (GRP-LM) using a subcutaneous abdominal wall lifting method: a retrospective analysis of a large cohort of 966 cases in Japan.

Hiroe Ito, Yasukazu Sagawa, Junko Nakagawa, Tomoyoshi Akaeda, Kiyoaki Tsutsumi, Keiichi Isaka

Abstract read
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Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hiroe ItoDepartment of Obstetrics and Gynecology, Tokyo Medical University Hospital, 6-7-1, Nishishinjuku, Shinjukuku, Tokyo, 160-0023, Japan. hiroe@tokyo-med.ac.jp.ORCID 0000-0002-8613-3845
Yasukazu SagawaDepartment of Obstetrics and Gynecology, Tokyo Medical University Hospital, 6-7-1, Nishishinjuku, Shinjukuku, Tokyo, 160-0023, Japan.
Junko NakagawaDepartment of Obstetrics and Gynecology, Meirikai Tokyo Yamato Hospital, Tokyo, Japan.
Tomoyoshi AkaedaDepartment of Obstetrics and Gynecology, Akaeda Clinic, Tama City, Tokyo, Japan.
Kiyoaki TsutsumiDepartment of Obstetrics and Gynecology, Nagai Mothers Clinic, Misato City, Saitama, Japan.
Keiichi IsakaDepartment of Obstetrics and Gynecology, Tokyo Medical University Hospital, 6-7-1, Nishishinjuku, Shinjukuku, Tokyo, 160-0023, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the usefulness of gasless reduced-port laparoscopic myomectomy (GRP-LM) using a subcutaneous abdominal wall lifting method.

methodsIn GRP-LM, after lifting the abdominal wall by a subcutaneous abdominal wall lifting method, a 1.5-cm incision is made in the lateral abdomen, Lap Protector

resultsGRP-LM was performed in 966 patients. Complications (0.5%) and blood transfusions (0.3%) were remarkably rare, and there were no cases of conversion to open surgery. With regard to the correlation between the number of fibroids extracted and each factor, the number of fibroids extracted correlated with fibroid weight and operation time, but not with blood loss. The average number of sutures per case was 21, and the average suture and ligation time per suture was 77 s. Comparing the cost of GRP-LM with that of the conventional insufflation LM, a saving of $875 was possible with GRP-LM.

conclusionGRP-LM is a suitable for multiple fibroids, and is cosmetic and economical, because it allows rapid and reliable suture and ligation, despite having only one port for the procedure.

Indexed as

Abdominal WallLaparoscopyLeiomyomaUterine MyomectomyUterine NeoplasmsAdultBlood Loss, SurgicalFemaleHumansJapanMiddle AgedOperative TimeRetrospective StudiesTreatment OutcomeGasless surgeryLaparoscopic myomectomyReduced port surgerySubcutaneous abdominal wall lifting method

Identifiers

PMID39249518
PMCPMC11890381

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.