Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy.
OBJECTIVE
To assess the risks and outcome of pregnancies and deliveries after laparoscopic myomectomy (LM).


METHODS
Retrospective study.


METHODS
Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.


METHODS
A total of 514 patients of fertile age that underwent LM at the Center were selected.


METHODS
All the surgical procedures were performed using the same technique employing a vertical uterine incision and avoiding the use of electrosurgery.


METHODS
Number and outcome of pregnancies achieved after surgery, abortion rate, preterm delivery, gestational age, malpresentation, spontaneous or cesarean delivery, and postpartum hemorrhage. We also paid particular attention to the occurrence of uterine rupture.


RESULTS
A total of 158 pregnancies were achieved. There were 43 (27.2%) spontaneous abortions, 4 (2.6%) ectopic pregnancies, and 1 (0.6%) therapeutic abortion. Only 27 patients (25.5%) had vaginal deliveries, whereas 79 (74.5%) underwent cesarean section. No instances of uterine rupture were recorded.


CONCLUSIONS
Our preliminary results confirmed that LM, performed by an expert surgeon, can restore reproductive capacity, allowing patients to have a successful pregnancy.
Seracchioli
Renato
R
Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. seracchioli@orsola-malpighi.med.unibo
Manuzzi
Linda
L
Vianello
Federico
F
Gualerzi
Beatrice
B
Savelli
Luca
L
Paradisi
Roberto
R
Venturoli
Stefano
S
D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D007889:Leiomyoma / Q000453:epidemiology* / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome / Q000453:epidemiology*; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000453:epidemiology* / Q000601:surgery*