title: [Laparoscopic myomectomy].
abstract: OBJECTIVE
  The aim of our study was clinical analysis of the factors influencing on laparoscopic myomectomy.
  
  
  METHODS
  Retrospective analysis of the operative protocols.
  
  
  METHODS
  Two hundred nineteen women had laparoscopy because of unexplained infertility (n = 109) unexplained infertility and myomas (n = 41), myomas (n = 36), endometriosis suspicion (n = 20) ovarian cyst (n = 9) or pelvic pain syndrome (n = 4).
  
  
  RESULTS
  Among 299 myomas 186 were extirpated during laparoscopy. In 39 cases suturing of the myometrium was necessary. Electrocautery was performed in 27 cases and laser-vaporisation in 8. In 28 women the operation was postponed because of small myomas and mainly poor operative technique (beginning of the learning curve). In two of them second laparoscopy was performed after GnRH therapy. An analysis of the factors which enable laparoscopic myomectomy was performed. The most important factors are: size and number of the myomas, localization in the myometrium, experienced hands and operative room equipment.
  
  
  CONCLUSIONS
  Uterine myomas are one of the indications to operative laparoscopy. Meticulous analysis of the operative conditions as well as the assessment of the team experience should always precede laparoscopy.
authors.affiliation: Kliniki Rozrdoczosci, Poznaniu.
authors.forename: K
authors.initials: K
authors.lastname: Szymanowski
authors.forename: J
authors.initials: J
authors.lastname: Skrzypczak
authors.forename: S
authors.initials: S
authors.lastname: Banaszewski
authors.forename: P
authors.initials: P
authors.lastname: Jedrzejczak
authors.forename: M
authors.initials: M
authors.lastname: Wilczak
authors.forename: L
authors.initials: L
authors.lastname: Pawelczyk
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009214:Myoma / Q000601:surgery*; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000601:surgery*