title: [Influencing factors of reproduction status of patients undergoing laparoscopic myomectomy].
abstract: OBJECTIVE
  To explore the influencing factors of reproduction status in women undergoing laparoscopic myomectomy (LM).
  
  
  METHODS
  A total of 278 LM patients were recruited.We retrospectively reviewed the reproduction status of 87 pregnant cases after LM. The correlations of their pregnancy outcomes and such clinical profiles as age, operative techniques, biological characteristics of fibroids (number, type, size and location) were analyzed.No uterine rupture occurred during the gestation period.
  
  
  RESULTS
  None of them switched to open surgery due to laparoscopic difficulties. However, one patient had a laparoscopic suture for secondary bleeding of uterine incision. At 3 months post-operation, sonography showed no heterogeneous echo, effusion and hematoma in uterine incision.Incision through uterine cavity occurred intraoperatively in 8 cases, but no intrauterine adhesion was found on hysteroscopy 3 months later. And 87 women became pregnant and the postoperative fertilization time was from 2 months to 5 years. Age influenced the postoperative pregnancy rate.Other factors such as location, number and size of fibroid had no impact on fertility.
  
  
  CONCLUSIONS
  For achieving a high conception rate and guaranteeing the safety of pregnant women, a clinician should select reasonable surgical approaches, perform accurate anatomical restoration, apply strict hemostasis and choose a right time of conception.
authors.affiliation: Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China.
authors.forename: Guang-hui
authors.initials: GH
authors.lastname: Song
authors.affiliation: Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China. Email:zhangsongying@126.com.
authors.forename: Song-ying
authors.initials: SY
authors.lastname: Zhang
authors.affiliation: Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China.
authors.forename: Bai-jia
authors.initials: BJ
authors.lastname: Li
authors.affiliation: Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wei
authors.affiliation: Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China.
authors.forename: Dong
authors.initials: D
authors.lastname: Huang
authors.affiliation: Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China.
authors.forename: Xiao-na
authors.initials: XN
authors.lastname: Lin
authors.affiliation: Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China.
authors.forename: Hong-ying
authors.initials: HY
authors.lastname: Lou
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D059351:Organ Sparing Treatments; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*