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- Title
Laparoscopic myomectomy for infertile patients with intramural fibroids: A retrospective study at a tertiary endoscopic centre.
- Authors
Lourens, R. J.; Siebert, T. I.; Kruger, T. F.; van der Merwe, J. P.
- Abstract
Background. The safety of laparoscopic myomectomy has been questioned, especially in the case of fibroids. Objectives. To assess the safety of laparoscopic myomectomy for intramural fibroids and study the subsequent effect on fertility. Methods and settings. A retrospective study of a tertiary endoscopic centre specialising in laparoscopic myomectomy. Results. Eighty-seven patients were studied, and there were no major complications. The conversion rate from laparoscopy to laparotomy was 3.4% (3/87), in all cases due to multiple fibroids. There was 1 case of uterine perforation during hysteroscopy. The overall pregnancy rate was 29/64 (45.3%), with a spontaneous pregnancy rate of 18/29 (62.0%). Conclusions. Laparoscopic myomectomy can be regarded as a safe alternative to abdominal myomectomy in the hands of the experienced surgeon, resulting in good subsequent pregnancy rates.
- Subjects
LAPAROSCOPY; MYOMECTOMY; UTERINE fibroids; HUMAN fertility; RETROSPECTIVE studies; ABDOMINAL surgery; PREGNANCY
- Publication
South African Journal of Obstetrics & Gynaecology, 2011, Vol 17, Issue 3, p56
- ISSN
0038-2329
- Publication type
Article