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To compare the efficiency of two surgical techniques to remove uterine myomata, 120 premenopausal women were included in this case control study based on the criteria of no previous operations, size of leiomyoma, and age. Sixty patients were treated by laparoscopy (group 1) and 60 by laparotomy (group 2). The hospital stay for group 1 was shorter than that for group 2 (3.53plusmn; 1.33 and 7.98plusmn; 2.05 days, p0.001). The rate of total complications (body temperature38deg; C, hemoglobin8.5 g/100 ml, infiltration of abdominal sutures, dysuria, reduction in blood platelets) was 13% in group 1 versus 53% in group 2 (p0.001). The mean cost for each surgical treatment was $628.71 and $652.40, respectively. The mean entire cost (surgery plus hospital stay) was $1357.23 and $2298.90, respectively (p0.001). The savings were detectable after 9 and 52 operations, respectively, whether including all expenditures or only the cost of surgery. The cost saving of the entire treatment for 60 operations was $56,500.12.

Study Objective. To determine the frequency of adhesion formation after myomectomy performed by operative laparoscopy or laparotomy. Design. Case-control study. Setting. Academic women's hospital. Patients. Thirty-two premenopausal women scheduled for myomectomy by one of two techniques. Interventions. Surgical removal of myomata. Measurements and Main Results. Of the 32 women, 16 underwent laparotomy and 16 laparoscopy. Second-look laparoscopy was performed in 28 patients, at which time adhesions were lysed. Compared with laparotomy, laparoscopy resulted in adhesions in significantly fewer patients, and in significantly lower scores when adhesions were detected. Conclusion. Laparoscopic removal of uterine myomata is associated with fewer adhesions than removal by laparotomy.