Document Detail


Pregnancy outcomes and deliveries after laparoscopic myomectomy.
MedLine Citation:
PMID:  12732768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To assess pregnancy outcomes and deliveries after laparoscopic myomectomy. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: General hospital. PATIENTS: Three hundred fifty-nine women. INTERVENTIONS: Laparoscopic myomectomy and laparoscopic and/or hysteroscopic treatment of associated pathologies. MEASUREMENTS AND MAIN RESULTS: Five patients (1.39%) were lost to follow-up. Seventy-two women were pregnant at least once after laparoscopic myomectomy, for a total of 76 pregnancies. Four women conceived twice and four are pregnant as of this writing. One multiple pregnancy occurred. Twelve pregnancies resulted in first-trimester miscarriage, one in an ectopic pregnancy, one in a blighted ovum, and one in a hydatiform mole. One patient underwent elective first-trimester termination of pregnancy. Thirty-one women had vaginal delivery at term and 26 were delivered by cesarean section. No case of uterine rupture or dehiscence occurred. CONCLUSION: Our technique of laparoscopic myomectomy appears to allow safe vaginal delivery.
Authors:
Stefano Landi; Andrea Fiaccavento; Riccardo Zaccoletti; Fabrizio Barbieri; Radha Syed; Luca Minelli
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  10     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-06     Completed Date:  2003-09-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  177-81     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Ospedale S. Cuore-Don Calabria, Negrar, Verona, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Cesarean Section / statistics & numerical data
Delivery, Obstetric / methods*
Female
Follow-Up Studies
Humans
Infant, Newborn
Laparoscopy / methods*
Leiomyoma / diagnosis,  surgery*
Pregnancy
Pregnancy Complications / diagnosis*
Pregnancy Outcome*
Pregnancy, High-Risk
Retrospective Studies
Uterine Neoplasms / diagnosis,  surgery*

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


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