[The limits of laparoscopic myomectomy].
Feasibility of laparoscopic myomectomy has been already shown with numerous clinical studies. Short-term benefits of this procedure are nowadays established. Its limits are related to the surgical technique, the myoma process, and the clinical context of the patient. By using preoperative exclusion criteria, particularly the size and the number of myomas, laparoscopic treatment is possible with little laparoconversion and complications rates. One could be in doubt about the risk of uterine rupture during a pregnancy occurring after laparoscopic myomectomy. In infertile patients, this procedure is as effective as laparotomy, even though its benefits in terms of postoperative adhesions should be demonstrated. Less invasive surgery should be preferred.
Benhaim
Y
Y
Service de gynécologie-obstétrique, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75877 Paris cedex 18, France.
Ducarme
G
G
Madelenat
P
P
Daraï
E
E
Poncelet
C
C
D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D011247:Pregnancy; D000267:Tissue Adhesions / Q000453:epidemiology; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D014597:Uterine Rupture