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Human Reproduction, Vol. 14, No. 5, 1219-1221, May 1999
© 1999 European Society of Human Reproduction and Embryology

Pregnancy following laparoscopic myomectomy: preliminary results

Ceana H. Nezhat1,2,3,4, Farr Nezhat1,2,3,4, Michael Roemisch2, Daniel S. Seidman1, Salli I. Tazuke1 and Camran R. Nezhat1,2,3,4,5,6

1 Department of Gynecology and Obstetrics, Stanford University School of Medicine, Stanford, 2 Center for Special Pelvic Surgery, Atlanta and Palo Alto, 3 Department of OB/Gyn, Mercer University School of Medicine Macon, Georgia, 4 Stanford Endoscopy Center for Training and Technology, Palo Alto and 5 Department of Surgery, Stanford University School of Medicine, Stanford, USA

The objective of this study was to assess the outcome of pregnancy in a series of women who underwent laparoscopic myomectomy. A total of 115 women underwent laparoscopic myomectomy for pressure and pain (76.5%), abnormal bleeding (52.2%) and/or infertility (29.6%). Follow up data were obtained either by reviewing the patient's chart or returned questionnaire. Of the 115 women, there were 42 pregnancies in 31 patients. Two women were lost to follow-up. Of the remaining 40 pregnancies, six ended with vaginal delivery at term. Caesareans were performed in 22 cases, including 21 at term and one at 26 weeks gestation. Two pregnancies were associated with a normal delivery, but the mode of delivery is unknown. Eight resulted in first trimester pregnancy loss, one was an ectopic pregnancy, and one patient underwent elective termination. Spontaneous uterine rupture was not noted during pregnancy or at term in any of the cases. Average length of follow-up from the date of surgery was 43 months, with a range of 9–99 months. Our series did not confirm the hypothesis that laparoscopic myomectomy is associated with an increased risk for uterine dehiscence during pregnancy. However, a larger series is needed to make a conclusive judgement.

Key words: laparoscopic myomectomy/pregnancy complications/uterine dehiscence

6 To whom correspondence should be addressed at: Stanford Endoscopy Center for Training and Technology, 900 Welch Road, Suite 403, Palo Alto, CA 94304, USA


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