Document Detail


Fertility after laparoscopic myomectomy: preliminary results.
MedLine Citation:
PMID:  9363709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the limits, complications, subsequent fertility and outcome of pregnancies after laparoscopic myomectomy. From January 1990 to October 1995, 143 patients underwent a first laparoscopic approach to myomectomy. A total of 41 patients (28.7%) had a laparoconversion (12 cases for a number of myomata >5, 15 cases for myoma diameter >7 cm, 12 cases for peroperative haemorrhage and two cases for adenomyosis). Seventy patients (49%) wished to conceive: 26 had undergone laparoconversion and 44 laparoscopic myomectomy. A total of 19 pregnancies were obtained in 17 patients after laparoscopic myomectomy (38.6%): eight vaginal deliveries, three Caesarean sections, four miscarriages, two abortions, one ectopic pregnancy and one therapeutic abortion. The pregnancy rate in patients with unexplained infertility and with multifactorial infertility was 48.2% and 20% respectively. The mean delay to conception was 11.3 months. No uterine rupture was noted. Pelvic adhesions were found in the four patients who underwent second-look procedure. Our preliminary results indicate that laparoscopic myomectomy is a useful technique.
Authors:
E Daraï; H Dechaud; J L Benifla; C Renolleau; P Panel; P Madelenat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  12     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-12-05     Completed Date:  1997-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1931-4     Citation Subset:  IM    
Affiliation:
Service de Gynécologie, Hôpital Bichat-Claude-Bernard, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous
Abortion, Therapeutic
Adult
Cesarean Section
Female
Fertility*
Humans
Infertility, Female
Laparoscopy*
Leiomyoma / surgery*
Pregnancy
Pregnancy Outcome
Pregnancy, Ectopic
Uterine Neoplasms / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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