title: Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy.
abstract: 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.
authors.affiliation: Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. seracchioli@orsola-malpighi.med.unibo
authors.forename: Renato
authors.initials: R
authors.lastname: Seracchioli
authors.forename: Linda
authors.initials: L
authors.lastname: Manuzzi
authors.forename: Federico
authors.initials: F
authors.lastname: Vianello
authors.forename: Beatrice
authors.initials: B
authors.lastname: Gualerzi
authors.forename: Luca
authors.initials: L
authors.lastname: Savelli
authors.forename: Roberto
authors.initials: R
authors.lastname: Paradisi
authors.forename: Stefano
authors.initials: S
authors.lastname: Venturoli
mesh_terms: 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*