Reproductive outcome after laparoscopic myomectomy – retrospective analysis 1994-2007

Česká verzia

Authors: E. Kučera ^1,2; F. Mandys ³; J. Drahoňovský ^1,2; D. Martin ⁴; B. Procházka ⁵
Authors place of work: Ústav pro péči o matku a dítě, Praha, ředitel doc. MUDr. J. Feyereisl, CSc. ¹; Katedra gynekologie a porodnictví 3. LF UK Praha, vedoucí doc. MUDr. B. Svoboda, CSc. ²; Praha 1, Vodičkova ³; Fakultní nemocnice Královské Vinohrady, Praha, ředitel MUDr. M. Zeman ⁴; Státní zdravotní ústav, Praha, ředitelka ing. J. Sosnovcová ⁵
Published in the journal: Ceska Gynekol 2009; 74(6): 431-436

Summary

The aim of the study was to analyse the reproductive outcome after laparoscopic myomectomy (LM) in infertile patiens. Between the years 1994 - 2007 were 351 infertile women operated in our department. The average age of the patients was 33.5. The total number of extirpated fibroids was 643, with the average of 1.7 per patient and the average size of 3.3 cm.171 women (48.7%) became pregnant after LM. There were 119 deliveries, 16 spontaneous abortions and 6 ectopic pregnancies in this group. The caesarean section (CS) rate was 46.2% . Intramural localisation of the fibroid significantly correlated with the termination of pregnancy by CS. I. and II. trimester pregnancy loss correlated significantly with deep coagulation when conception occured during 12 months after surgery. No uterine rupture was observed during pregnancy.

Key words:
leiomyoma, fibroid, laparoscopy, myomectomy, delivery, abortion, uterine rupture, analysis.

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