Human Reproduction, Vol. 15, No. 4, 869-873,
April 2000
© 2000 European Society of Human Reproduction and Embryology
Pregnancy outcome and deliveries following laparoscopic myomectomy
Service de Chirurgie Gynécologique, Clinique Universitaire Baudelocque, C.H.U. Cochin/Saint Vincent de Paul, 123 Boulevard Port Royal, 75014 Paris, France
Uterine rupture after myomectomy by laparotomy is not a common occurrence. Some case reports of uterine rupture after laparoscopic myomectomy (LM) raise the question of the quality of the uterine scar produced when this technique is performed. In order to assess the outcome of pregnancies and deliveries after LM and to assess the risk of uterine rupture, we performed an observational study. Questionnaires were mailed to all women who had had LM for at least one intramural or subserosal myoma of more than 20 mm diameter and who were aged <45 years. Ninety-eight patients became pregnant at least once after LM, giving a total of 145 pregnancies. Among the 100 patients who had delivery, there were three cases of spontaneous uterine rupture. Because only one of these uterine ruptures occurred on the LM scar, the risk of uterine rupture was 1.0% (95% CI 0.0–5.5%). Seventy-two patients (72.0%) had trials of labour. Of these, 58 (80.6%) were delivered vaginally. There was no uterine rupture during the trials of labour. Spontaneous uterine rupture seems to be rare after LM. This risk should not deter the use of LM if needed. When performing LM, particular care must be given to the uterine closure.
Key words: laparoscopic/myomectomy/rupture/uterine
1 To whom correspondence should be addressed
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  E. Somigliana, P. Vercellini, R. Daguati, R. Pasin, O. De Giorgi, and P.G. Crosignani Fibroids and female reproduction: a critical analysis of the evidence Hum. Reprod. Update, September 1, 2007; 13(5): 465 - 476. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P.G. Paul, A. K. Koshy, and T. Thomas Pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure Hum. Reprod., December 1, 2006; 21(12): 3278 - 3281. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Cagnacci, D. Pirillo, S. Malmusi, S. Arangino, C. Alessandrini, and A. Volpe Early outcome of myomectomy by laparotomy, minilaparotomy and laparoscopically assisted minilaparotomy. A randomized prospective study Hum. Reprod., December 1, 2003; 18(12): 2590 - 2594. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Hasbargen, M. Summerer-Moustaki, P. Hillemanns, J. Scheidler, R. Kimmig, and H. Hepp Uterine dehiscence in a nullipara, diagnosed by MRI, following use of unipolar electrocautery during laparoscopic myomectomy: Case report Hum. Reprod., August 1, 2002; 17(8): 2180 - 2182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Donnez and P. Jadoul What are the implications of myomas on fertility?: A need for a debate? Hum. Reprod., June 1, 2002; 17(6): 1424 - 1430. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Hart, Y. Khalaf, C.-T. Yeong, P. Seed, A. Taylor, and P. Braude A prospective controlled study of the effect of intramural uterine fibroids on the outcome of assisted conception Hum. Reprod., November 1, 2001; 16(11): 2411 - 2417. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-B. DUBUISSON, C. CHAPRON, A. FAUCONNIER, and K. BABAKI-FARD Laparoscopic Myomectomy: Fertility Results Ann. N.Y. Acad. Sci., September 1, 2001; 943(1): 269 - 275. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-B. Dubuisson, A. Fauconnier, V. Fourchotte, K. Babaki-Fard, J. Coste, and C. Chapron Laparoscopic myomectomy: predicting the risk of conversion to an open procedure Hum. Reprod., August 1, 2001; 16(8): 1726 - 1731. [Abstract] [Full Text] [PDF]
|
|