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Intrauterine Levonorgestrel-Releasing Systems for Effective Treatment and Contraception 153 Myomectomy (laparoscopic, robotic assisted laparoscopic, vaginal, laparoscopic assisted vaginal, laparotomy) Advantages Disadvantages Overall outcomes are eighty one% decision of Only a restricted range of fibroids is amenable to menorrhagia symptoms, with similar the laparoscopic method outcomes for pelvic stress symptoms Risk of conversion to open myomectomy is 2-8% Laparoscopic strategy to Rupture of the pregnant uterus has been myomectomy is related to a reported after laparosopic myomectomy shorter postoperative restoration period, Myomectomy carried out through a laparotomy is shorter hospital stay and cost-saving associated with increased blood loss, operating advantages time, ache, postoperative morbidity and longer Robotic-assisted laparoscopic hospital stay than hysterectomy, whereas an myomectomy might considerably additional process (such as repeat scale back studying curve (Nisolle et al. 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