Document Detail

Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM).
MedLine Citation:
PMID:  22835042     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Laparoscopic myomectomy has recently gained wide acceptance but this procedure remains technically highly demanding and concerns have been raised about the increased blood loss and an higher risk of postoperative uterine rupture of the pregnant uterus.
OBJECTIVE: The aim of the present study is to evaluate the fertility and endocrine outcome in women underwent robot-assisted laparoscopic myomectomy (RALM).
METHODS: Data from 48 RALM performed in our department between the years 2007 and 2011 have been collected. Conception rate, abortion rate, incidence of feto-maternal morbidity or severe pregnancy and labor-related complications were reported; FSH and AMH levels and ultrasound valuation of AFC has been made before and 6 months after operation. Number of cesarean sections and vaginal deliveries were described.
RESULTS: The average age of the patients was 35 years and median Body Mass Index was 23 kg/m(2) (range 18-35 kg/m(2)). Seven women (13%) became pregnant after RALM with eight pregnancies. One pregnancy is actually on going; there were six deliveries with caesarian section and one spontaneous delivery. No spontaneous abortions. No uterine ruptures occurred. No significant modification of ovarian function was found after myomectomy.
CONCLUSION: RALM seems to have a favorable impact on the reproductive outcome of young patients with no impact on the ovarian function.
V Cela; L Freschi; G Simi; R Tana; N Russo; P G Artini; N Pluchino
Publication Detail:
Type:  Journal Article     Date:  2012-07-26
Journal Detail:
Title:  Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology     Volume:  29     ISSN:  1473-0766     ISO Abbreviation:  Gynecol. Endocrinol.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-11-29     Completed Date:  2013-05-28     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  8807913     Medline TA:  Gynecol Endocrinol     Country:  England    
Other Details:
Languages:  eng     Pagination:  79-82     Citation Subset:  IM    
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MeSH Terms
Abortion, Spontaneous / epidemiology,  prevention & control
Cesarean Section / statistics & numerical data
Endocrine System / physiology
Fertility / physiology*
Infertility, Female / epidemiology,  prevention & control
Leiomyoma / epidemiology,  surgery*
Obstetric Labor Complications / epidemiology,  prevention & control
Ovary / physiology
Postoperative Complications / epidemiology*,  prevention & control
Pregnancy Rate
Uterine Myomectomy / adverse effects,  instrumentation,  methods*
Uterine Neoplasms / epidemiology,  surgery*

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