Document Detail


Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy.
MedLine Citation:
PMID:  16764876     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the risks and outcome of pregnancies and deliveries after laparoscopic myomectomy (LM). DESIGN: Retrospective study. SETTING: Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. PATIENT(S): A total of 514 patients of fertile age that underwent LM at the Center were selected. INTERVENTION(S): All the surgical procedures were performed using the same technique employing a vertical uterine incision and avoiding the use of electrosurgery. MAIN OUTCOME MEASURE(S): Number and outcome of pregnancies achieved after surgery, abortion rate, preterm delivery, gestational age, malpresentation, spontaneous or cesarean delivery, and postpartum hemorrhage. We also paid particular attention to the occurrence of uterine rupture. RESULT(S): A total of 158 pregnancies were achieved. There were 43 (27.2%) spontaneous abortions, 4 (2.6%) ectopic pregnancies, and 1 (0.6%) therapeutic abortion. Only 27 patients (25.5%) had vaginal deliveries, whereas 79 (74.5%) underwent cesarean section. No instances of uterine rupture were recorded. CONCLUSION(S): Our preliminary results confirmed that LM, performed by an expert surgeon, can restore reproductive capacity, allowing patients to have a successful pregnancy.
Authors:
Renato Seracchioli; Linda Manuzzi; Federico Vianello; Beatrice Gualerzi; Luca Savelli; Roberto Paradisi; Stefano Venturoli
Related Documents :
3280356 - Rupture of pregnant noncommunicating uterine horn with fetal salvage.
12521726 - Reduction in the occurrence of uterine rupture in central india.
6472746 - Septate uterus: sonographic diagnosis and obstetric complications.
22318076 - Laparoscopic management of pseudocyst of the pancreas in a pregnant patient.
22407866 - Male sex bias in placental dysfunction.
9048236 - The influence of endometriosis on the success of gamete intrafallopian transfer (gift).
Publication Detail:
Type:  Journal Article     Date:  2006-06-09
Journal Detail:
Title:  Fertility and sterility     Volume:  86     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-04     Completed Date:  2006-08-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  159-65     Citation Subset:  IM    
Affiliation:
Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. seracchioli@orsola-malpighi.med.unibo
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Delivery, Obstetric / statistics & numerical data*
Female
Humans
Incidence
Italy / epidemiology
Leiomyoma / epidemiology*,  surgery*
Postoperative Complications / epidemiology
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome / epidemiology*
Risk Assessment / methods
Risk Factors
Treatment Outcome
Uterine Neoplasms / epidemiology*,  surgery*

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


Previous Document:  Visualization of human sperm chromosomes by using mouse oocytes cryothawed after enucleation.
Next Document:  Molecular cloning and characterization of FSH and LH receptors in Atlantic salmon (Salmo salar L.).