Objective: To compare laparoscopic and open myomectomy for patients with fibroids with regards to surgical outcomes, recurrence rate and spontaneous pregnancy outcomes following Myomectomy in Hospital Sultan Abdul Halim, Sungai Petani.

Methods: This is a retrospective cross-sectional study of women who underwent myomectomy either via laparoscopy or laparotomy. A linked database containing patient data for hospital admission, operating room and clinic follow-up from January 2016 until December 2016 in Hospital Sultan Abdul Halim, Sungai Petani, Kedah was used. All women below the age of 40 years who had undergone a myomectomy (laparotomy and laparoscopy) were included. Patients who had pedunculated or submucosal fibroids were excluded. Both surgical methods for myomectomy were compared regarding surgical outcomes, blood loss, length of hospital stay, recurrence rates and pregnancy outcomes. Statistical analysis was done using SPSS version 22.0 by chi-square test, and the P value <0.05 was considered significant.

Results: There was a total of 44 myomectomies done in 2016.  Thirty (n=30, 68.1%) were performed via laparoscopy, while fourteen (n=14, 31.9%) via laparotomy.  Laparoscopic myomectomy had the advantages of shorter hospital stay by 1 day (1 day versus 2 days, P<0.001). There were no significant differences between the two groups in terms of blood loss (P=0.175), pregnancy outcome (P=0.709) and recurrence rate (P=0.277). 

Conclusion: Laparoscopic myomectomy is a good alternative to myomectomy via laparotomy. It has the advantage of a shorter hospital stay, without increasing the risk of adverse outcomes.