[Laparoscopic myomectomy in infertile women].
OBJECTIVE
Evaluation of laparoscopic myomectomy in infertile patient.


METHODS
Literary review.


METHODS
Institute for the Care of Mother and Child, Prague, Institute for Postgraduate Medical Education, Prague.


METHODS
Information and results of laparoscopic myomectomy in infertile patient were assessed and analysed.


RESULTS
Laparoscopic myomectomy in infertile patient is one of the most common surgical procedures. There are several complications after this procedure--adhesion formation, bleeding and uterine rupture during following pregnancy. The incidence of adhesion formation after laparoscopic myomectomy especially in case of intramural and deep subserosal fibroids of posterior uterine wall is high, almost in 60-90%. The uterine rupture following myomectomy represents only 2% of all uterine ruptures in pregnancy.


CONCLUSIONS
The laparoscopic approach in uterine fibroids treatment has been clearly established. The appropriate surgical management of uterine defect is mandatory. This approach is the best prevention of postoperative complications--adhaesions and uterine rupture.
Kucera
E
E
Ustav pro péci o matku a dítĕ, Praha.
D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000150:complications / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications; D000267:Tissue Adhesions; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*
Laparoskopická myomektomie u poruch plodnosti zeny.