SURGICAL OUTCOMES OF MYOMECTOMY AT THE NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY

Văn Thắng Nguyễn 1, Minh Hưng Đào 1,, Anh Đức Đoàn 2, Hữu Hoàng Minh Nguyễn 2
1 National Hospital of Obstetrics and Gynecology
2 Hanoi Medical University

Main Article Content

Abstract

Objective: Assessment of the results of myomectomy performed at the National Hospital of Obstetrics and Gynecology. Subjects and Methods: A cross-sectional descriptive study was conducted on 292 patients with uterine fibroids who underwent myomectomy at the National Hospital of Obstetrics and Gynecology. Results: The mean age of patients was 37.3 ± 6.2 years. The most common presenting symptom was abnormal uterine bleeding (50%), followed by abdominal enlargement (27.7%). A single fibroid was observed in most cases (80.1%), with tumors measuring 61–80 mm being the most frequent (31.5%). Open surgery accounted for 58.9%, laparoscopic myomectomy 23.3%, and hysteroscopic myomectomy 17.8%. Intraoperative and postoperative complications were rare (<1%). The mean operative time was 61.4 ± 21.6 minutes, and the mean postoperative hospital stay was 4.6 ± 1.05 days. Conclusion: Myomectomy at the National Hospital of Obstetrics and Gynecology is safe, effective, and associated with a low complication rate and improved anemia status.

Article Details

References

1. Movilla P, Orlando M, Wang J, Opoku-Anane J. Predictors of Prolonged Operative Time for Robotic-Assisted Laparoscopic Myomectomy: Development of a Preoperative Calculator for Total Operative Time. J Minim Invasive Gynecol. 2020; 27(3): 646-654. doi:10.1016/j.jmig.2019. 04.019
2. Thắng DĐ, Minh NT, Nguyệt NTM. Phẫu thuật bóc u xơ cơ tử cung tại Bệnh viện Phụ sản Trung ương. Tạp Chí Học Việt Nam. 2023;522(1). doi:10.51298/vmj.v522i1.4215
3. Alessandri F, Lijoi D, Mistrangelo E, Ferrero S, Ragni N. Randomized study of laparoscopic versus minilaparotomic myomectomy for uterine myomas. J Minim Invasive Gynecol. 2006;13(2): 92-97. doi:10.1016/j.jmig.2005.11.008
4. khotrithucso.com KTTS. Ttình hình bóc u xơ tử cung qua nội soi tại bệnh viện Phụ sản Trung ương từ tháng 1 năm 2005 đến tháng 6 năm 2009. Accessed September 18, 2025. https://khotrithucso.com/doc/p/ttinh-hinh-boc-u-xo-tu-cung-qua-noi-soi-tai-benh-vien-phu-159247
5. Xuân NT, Phương ĐTM, Anh NVT, Tân VQ, Tân ĐV. Đánh giá kết quả của phương pháp phẫu thuật nội soi bóc u xơ cơ tử cung tại Bệnh viện Trung ương Huế. Tạp Chí Dược Huế. 2025;15(1):144-151. doi:10.34071/jmp.2025.1.20
6. Hartmann KE, Velez Edwards DR, Savitz DA, et al. Prospective Cohort Study of Uterine Fibroids and Miscarriage Risk. Am J Epidemiol. 2017; 186(10): 1140-1148. doi:10.1093/aje/ kwx062
7. Nicolaus K, Bräuer D, Sczesny R, Lehmann T, Diebolder H, Runnebaum IB. Unexpected coexistent endometriosis in women with symptomatic uterine leiomyomas is independently associated with infertility, nulliparity and minor myoma size. Arch Gynecol Obstet. 2019;300(1): 103-108. doi:10.1007/s00404-019-05153-5
8. Don EE, Mijatovic V, Van Eekelen R, Huirne JAF. The effect of myomectomy on reproductive outcomes in patients with uterine fibroids: A retrospective cohort study. Reprod Biomed Online. 2022;45(5):970-978. doi:10.1016/j.rbmo. 2022.05.025
9. Table 3 | Clinical comparison of laparoscopic and open surgical approaches for uterus-preserving myomectomy: a retrospective analysis on patient-reported outcome, postoperative morbidity and pregnancy outcomes | Archives of Gynecology and Obstetrics. Accessed September 21, 2025. https://link.springer.com/article/10.1007/s00404-024-07818-2/tables/3
10. Hồng NT, Nhung VH, Mai DT, Vân VTH, Thu NTK. Kết quả phẫu thuật bóc u xơ tử cung tại Khoa Phụ, Bệnh viện A Thái Nguyên. J 108 - Clin Med Phamarcy. Published online June 12, 2025. doi:10.52389/ydls.v20i4.2707