Pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure.
BACKGROUND
To evaluate pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure.


METHODS
This study conducted at a private advanced endoscopy and assisted reproductive technology centre retrospectively evaluated outcomes of 115 women who had pregnancies subsequent to laparoscopic myomectomy.


RESULTS
Of the 217 women followed up, 115 had pregnancies subsequent to a laparoscopic myomectomy. Of 141 pregnancies, there were 87 Caesarean sections, 19 vaginal deliveries, 29 abortions and 6 ectopic pregnancies. There were no incidents of uterine scar rupture in any of these pregnancies.


CONCLUSIONS
Uterine rupture during pregnancies following laparoscopic myomectomy is rare following single-layer myometrial closure.
Paul
P G
PG
Center for Advanced Endoscopy and Infertility Treatment, Paul's Hospital, Cochin, Kerala, India.
Koshy
Aby K
AK
Thomas
Tony
T
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000601:surgery*; D009215:Myometrium / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000601:surgery*; D014597:Uterine Rupture / Q000209:etiology