title: Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas.
abstract: OBJECTIVE
  Laparoscopic myomectomy during pregnancy is indicated when symptoms related to uterine myomas persist despite pharmacologic therapy; however, currently there is very little information concerning its safety.
  
  
  METHODS
  We report three cases of antepartum laparoscopic myomectomy performed to manage complicated myomas requiring surgical intervention.
  
  
  RESULTS
  In particular, we report for the first time in literature the laparoscopic removal of two myomas in a patient during a single surgery performed in the 19th week of pregnancy followed by additional multiple myomectomy at the time of the cesarean section. All surgeries were without complication.
  
  
  CONCLUSIONS
  Our experience suggests that laparoscopic myomectomy may be performed safely during pregnancy; even more studies are needed to establish the exact rate of adverse events.
authors: Department of Obstetrics and Gynecology, Sirai Hospital, 09013 Carbonia, Italy. a.maccio@tin.it
authors: Antonio
authors: A
authors: Macciò
authors: Clelia
authors: C
authors: Madeddu
authors: Paraskevas
authors: P
authors: Kotsonis
authors: Antonio
authors: A
authors: Caffiero
authors: Angelo
authors: A
authors: Desogus
authors: Michele
authors: M
authors: Pietrangeli
authors: Anna Maria
authors: AM
authors: Paoletti
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery / Q000648:ultrastructure; D018231:Leiomyomatosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D014463:Ultrasonography; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D055815:Young Adult