Pregnancy outcomes and deliveries after laparoscopic myomectomy.
OBJECTIVE
To assess pregnancy outcomes and deliveries after laparoscopic myomectomy.


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


METHODS
General hospital.


METHODS
Three hundred fifty-nine women.


METHODS
Laparoscopic myomectomy and laparoscopic and/or hysteroscopic treatment of associated pathologies.


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.


CONCLUSIONS
Our technique of laparoscopic myomectomy appears to allow safe vaginal delivery.
Department of Obstetrics and Gynecology, Ospedale S. Cuore-Don Calabria, Negrar, Verona, Italy.
Stefano
S
Landi
Andrea
A
Fiaccavento
Riccardo
R
Zaccoletti
Fabrizio
F
Barbieri
Radha
R
Syed
Luca
L
Minelli
D000328:Adult; D001724:Birth Weight; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*