Hum. Reprod. Advance Access published online on July 31, 2006
Human Reproduction, doi:10.1093/humrep/del296
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1 Center for Advanced Endoscopy and Infertility Treatment, Paul’s Hospital, Cochin, Kerala, India
* To whom correspondence should be addressed. 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.
Received April 1, 2006
Revised June 8, 2006
Accepted June 28, 2006
Article
Pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure
P.G. Paul 1, Aby K. Koshy 1 *, and Tony Thomas 1
Aby K. Koshy, E-mail: abykkoshy{at}rediffmail.com
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