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Peer-reviewedCC BYInternational Journal of Women's Health

Suprapubic-Assisted Umbilical Dual-Port versus Four-Port Laparoscopic Myomectomy: A Retrospective Comparative Study

  • Yuan H1
  • Xie X1
  • Feng Y2
  • Pan C1
  • Maowulieti G1
  1. 1Department of Gynaecology
  2. 2Department of Women Health Care
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Abstract

Hua Yuan,1,* Xin Xie,1,* Yaling Feng,2 Chenhuan Pan,1 Gulijianati Maowulieti11Department of Gynaecology, Wuxi Maternal and Child Health Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, 214002, People’s Republic of China; 2Department of Women Health Care, Wuxi Maternal and Child Health Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, 214002, People’s Republic of China*These authors contributed equally to this workCorrespondence: Gulijianati Maowulieti, Department of Gynaecology, Wuxi Maternal and Child Health Hospital, Wuxi School of Medicine, Jiangnan University, 48 Huaishu Road, Wuxi, Jiangsu, 214002, People’s Republic of China, Tel +86 13814231286, Email [email protected]: This retrospective non-randomized study was performed to compare the safety, clinical efficacy and cosmetic satisfaction between suprapubic-assisted umbilical laparoendoscopic dual-site surgery (SAU-LEDS) and traditional multiport laparoscopic myomectomy for myomectomy.Methods: Seventy-five patients diagnosed with uterine fibroids in our Hospital between June 2022 and June 2024 were enrolled in this study, 35 cases underwent SAU-LEDS (dual-port group) and 40 cases underwent four-port laparoscopic surgery (four-port group). We mainly compared operative time, intraoperative blood loss, myoma removal time, wound suturing time, time to first flatus, postoperative maximum body temperature, length of hospital stays, numeric rating scale (NRS) pain score at 24 h postoperatively, postoperative cosmetic scale score and satisfaction at 1 month postoperatively between the two groups.Results: Both groups underwent surgery successfully without the conversion to laparotomy or major surgical complications. There were no statistically significant differences between the two groups in operation time, intraoperative blood loss, time to first flatus, postoperative maximum body temperature, and length of hospital stays (p > 0.05). However, compared with the four-port group, the dual-port group exhibited the shorter myoma removal time (15.49 (6.42) vs 25.78 (7.26), p = 0.003), the lower NRS pain score at 24 h postoperatively (1.20 (0.40) vs 1.62 (0.74), p = 0.045), the higher postoperative incision cosmetic scale score (16.80 (3.78) vs 10.80 (2.10), p = 0.009), and better satisfaction (3.60 (0.40) vs 3.00 (0.50), p = 0.032).Conclusion: SAU-LEDS appeared feasible and may provide cosmetic and pain-related advantages in selected patients, but prospective studies are needed.Keywords: laparoendoscopic dual-site surgery, pubic symphysis, laparoscopic myomectomy

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Cite

BibTeXRIS
BibTeX
@article{yuan2026suprapubicassisted,
  title = {{Suprapubic-Assisted Umbilical Dual-Port versus Four-Port Laparoscopic Myomectomy: A Retrospective Comparative Study}},
  author = {Yuan H and Xie X and Feng Y and Pan C and Maowulieti G},
  journal = {International Journal of Women's Health},
  year = {2026},
  month = nov,
  url = {https://www.dovepress.com/suprapubic-assisted-umbilical-dual-port-versus-four-port-laparoscopic--peer-reviewed-fulltext-article-IJWH},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Suprapubic-Assisted Umbilical Dual-Port versus Four-Port Laparoscopic Myomectomy: A Retrospective Comparative Study
AU  - Yuan H
AU  - Xie X
AU  - Feng Y
AU  - Pan C
AU  - Maowulieti G
PY  - 2026
DA  - 2026/11/01
JO  - International Journal of Women's Health
UR  - https://www.dovepress.com/suprapubic-assisted-umbilical-dual-port-versus-four-port-laparoscopic--peer-reviewed-fulltext-article-IJWH
AB  - Hua Yuan,1,* Xin Xie,1,* Yaling Feng,2 Chenhuan Pan,1 Gulijianati Maowulieti11Department of Gynaecology, Wuxi Maternal and Child Health Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, 214002, People’s Republic of China; 2Department of Women Health Care, Wuxi Maternal and Child Health Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, 214002, People’s Republic of China*These authors contributed equally to this workCorrespondence: Gulijianati Maowulieti, Department of Gynaecology, Wuxi Maternal and Child Health Hospital, Wuxi School of Medicine, Jiangnan University, 48 Huaishu Road, Wuxi, Jiangsu, 214002, People’s Republic of China, Tel +86 13814231286, Email [email protected]: This retrospective non-randomized study was performed to compare the safety, clinical efficacy and cosmetic satisfaction between suprapubic-assisted umbilical laparoendoscopic dual-site surgery (SAU-LEDS) and traditional multiport laparoscopic myomectomy for myomectomy.Methods: Seventy-five patients diagnosed with uterine fibroids in our Hospital between June 2022 and June 2024 were enrolled in this study, 35 cases underwent SAU-LEDS (dual-port group) and 40 cases underwent four-port laparoscopic surgery (four-port group). We mainly compared operative time, intraoperative blood loss, myoma removal time, wound suturing time, time to first flatus, postoperative maximum body temperature, length of hospital stays, numeric rating scale (NRS) pain score at 24 h postoperatively, postoperative cosmetic scale score and satisfaction at 1 month postoperatively between the two groups.Results: Both groups underwent surgery successfully without the conversion to laparotomy or major surgical complications. There were no statistically significant differences between the two groups in operation time, intraoperative blood loss, time to first flatus, postoperative maximum body temperature, and length of hospital stays (p > 0.05). However, compared with the four-port group, the dual-port group exhibited the shorter myoma removal time (15.49 (6.42) vs 25.78 (7.26), p = 0.003), the lower NRS pain score at 24 h postoperatively (1.20 (0.40) vs 1.62 (0.74), p = 0.045), the higher postoperative incision cosmetic scale score (16.80 (3.78) vs 10.80 (2.10), p = 0.009), and better satisfaction (3.60 (0.40) vs 3.00 (0.50), p = 0.032).Conclusion: SAU-LEDS appeared feasible and may provide cosmetic and pain-related advantages in selected patients, but prospective studies are needed.Keywords: laparoendoscopic dual-site surgery, pubic symphysis, laparoscopic myomectomy
SN  - 1179-1411
ER  -