Improved Recovery Using Multimodal Peri-operative Analgesia in Minimally Invasive Myomectomy

Improved Recovery Using Multimodal Peri-operative Analgesia in Minimally Invasive Myomectomy.A Randomized Study.

The purpose of this study is to evaluate a multimodal analgesic protocol used in minimally invasive surgery for myomectomies (laparoscopic myomectomy (LM) and laparoscopically assisted myomectomy (LAM)).

Inclusion Criteria:

• Symptomatic intramural and or subserous myomas
• ASA score 1-2
• Without contraindication to nonsteroidal anti-inflammatory agents
• Patients have to be able to understand and follow medical instructions
• They need to have satisfactory hygiene and accommodation conditions
• They have to live not more than 2 hours away from the department
• Easy telephone contact is required

Exclusion Criteria:

• Ovarian disease
• Previous medical treatment for ovarian suppression, pregnancy, abnormal Papanicolaou (Pap) test smear or hyperplasia (with or without atypia) in case of endometrial biopsy