Recurrence of leiomyomata after laparoscopic myomectomy.
OBJECTIVE
To assess recurrence of leiomyomata after laparoscopic myomectomy (LM) and evaluate predictive factors of recurrence.


METHODS
Observational study (Canadian Task Force classification II-2).


METHODS
University hospital.


METHODS
One hundred ninety-six women.


METHODS
Laparoscopic myomectomy with mean follow-up of 47 months.


RESULTS
Myoma recurrence included recurrence of initial symptomatology before LM, recurrence at clinical examination, and appearance of a myoma 2 cm or larger on ultrasound examination. Recurrence was observed in 45 patients (22.9%). The mean time before recurrence was 42 months (range 4-95 mo). Eight women (4.08%) required reoperation. The cumulative recurrence risk was 12.7% at 2 years and 16.7% at 5 years. Predictive factors for recurrence were number of myomas and nulliparity.


CONCLUSIONS
According to our results, the cumulative rate of myoma recurrence within 5 years appears greater after LM than after laparotomy. However, this should not lead us to reject laparoscopy, which has many advantages compared with laparotomy, in particular its low morbidity.
Doridot
V
V
Clinique Universitaire Baudelocque, 123, Boulevard Port Royal, 75014 Paris, France.
Dubuisson
J B
JB
Chapron
C
C
Fauconnier
A
A
Babaki-Fard
K
K
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D015999:Multivariate Analysis; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000453:epidemiology*; D011336:Probability; D016016:Proportional Hazards Models; D012307:Risk Factors; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*