Laparoscopic Myomectomy for Infertile Patients with Intramural Fibroids: a Retrospective Study at a Tertiary Endoscopic Centre
S. Afr. j. obstet. gynaecol
;
17(3): 56-62, 2011.
Article
in English
| AIM
| ID: biblio-1270754
ABSTRACT
Background:
The safety of laparoscopic myomectomy has been questioned especially in the case of intramural fibroids.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
Full text:
Available
Index:
AIM (Africa)
Main subject:
Safety
/
Female
/
Retrospective Studies
/
Laparoscopy
/
Infertility
/
Leiomyoma
Type of study:
Observational study
Language:
English
Journal:
S. Afr. j. obstet. gynaecol
Year:
2011
Type:
Article
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