Laparoscopic Myomectomy for infertile patients with intramural fibroids: a retrospective study at a tertiary endoscopic centre
Objectives: To assess the safety of a 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: 87 Patients were studied and there were no major complications. The conversion rate from laparoscopy to laparotomy was 3/87 (3.4%) due to multiple fibroids. There was one case of uterine perforation during hysteroscopy. The overall pregnancy rate was 29/64 (45%) with a spontaneous pregnancy rate of 18/29 (62%).
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.
Renardo Lourens, University of Stellenbosch
T I Siebert,
T F Kruger,
J P van der Merwe,
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Date published: 2011-08-22
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