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Hum. Reprod. Advance Access originally published online on July 31, 2006
Human Reproduction 2006 21(12):3278-3281; doi:10.1093/humrep/del296
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure

P.G. Paul, Aby K. Koshy1 and Tony Thomas

Center for Advanced Endoscopy and Infertility Treatment, Paul’s Hospital, Cochin, Kerala, India

1 To whom correspondence should be addressed at: Center for Advanced Endoscopy and Infertility Treatment, Paul’s Hospital, Vattekkattu Road, Kaloor, Cochin 682017, Kerala, India. E-mail: abykkoshy{at}rediffmail.com

BACKGROUND: To evaluate pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure. METHODS: This study conducted at a private advanced endoscopy and assisted reproductive technology centre retrospectively evaluated outcomes of 115 women who had pregnancies subsequent to laparoscopic myomectomy. RESULTS: Of the 217 women followed up, 115 had pregnancies subsequent to a laparoscopic myomectomy. Of 141 pregnancies, there were 87 Caesarean sections, 19 vaginal deliveries, 29 abortions and 6 ectopic pregnancies. There were no incidents of uterine scar rupture in any of these pregnancies. CONCLUSIONS: Uterine rupture during pregnancies following laparoscopic myomectomy is rare following single-layer myometrial closure.

Key words: laparoscopic myomectomy/pregnancy/single-layer closure/uterine rupture


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