Laparoscopic myomectomy for infertile patients with intramural fibroids : a retrospective study at a tertiary endoscopic centre
Date
2011-09
Authors
Lourens, Renardo J.
Siebert, T. I.
Kruger, T. F.
Van der Merwe, J. P.
Journal Title
Journal ISSN
Volume Title
Publisher
Health & Medical Publishing Group
Abstract
Background. The safety of laparoscopic myomectomy has been questioned, especially in the case of fibroids.
Objectives. To assess the safety of laparoscopic myomectomy for intramural fibroids and study the subsequent
effect on fertility.
Methods and settings. A retrospective study of a tertiary endoscopic centre specialising in laparoscopic
myomectomy.
Results. Eighty-seven patients were studied, and there were no major complications. The conversion rate from
laparoscopy to laparotomy was 3.4% (3/87), in all cases due to multiple fibroids. There was 1 case of uterine
perforation during hysteroscopy. The overall pregnancy rate was 29/64 (45.3%), with a spontaneous pregnancy rate
of 18/29 (62.0%).
Conclusions. Laparoscopic myomectomy can be regarded as a safe alternative to abdominal myomectomy in the
hands of the experienced surgeon, resulting in good subsequent pregnancy rates.
Description
The original publication is available at http://www.sajog.org.za/index.php/SAJOG/article/view/385
Keywords
Fertility, Human
Citation
Lourens, R. J., Siebert, T. I., Kruger, T. F., & Van Der Merwe, J. P. 2011. Laparoscopic myomectomy for infertile patients with intramural fibroids : a retrospective study at a tertiary endoscopic centre. South African Journal of Obstetrics and Gynaecology, 17(3): 56,58,59,60,62.