title: ["Second look" after laparoscopic myomectomy--is that a prevention of postoperative adhesions].
abstract: OBJECTIVE
  To investigate the risk of adhesions after laparoscopic myomectomy (LM). To establish the percentage of adhesions, their kind, situation and magnitude.
  
  
  METHODS
  For the period form June 2011 to November 2013 totally 81 patients were operated by LM. In the study only patients with intramural leymyomas bigger than 5 sm were included. For this period 14 patients had second-look because of the need of another operation--LS or Ceasarean section. 22 myoma incisions were checked. We established 35.7% adhesions per patient. After LM adnexas were engaged in 14.2%.
  
  
  CONCLUSIONS
  The factors, responsible for the formation of postoperative adhesions are: the location of the myoma in the posterior uterine wall, excessive accumulation of suturing materials and additional operative interventions. For patients underwent LM and willing pregnancy we recommend second look laparoscopy.
authors.forename: B
authors.initials: B
authors.lastname: Bechev
authors.forename: A
authors.initials: A
authors.lastname: Nacheva
authors.forename: N
authors.initials: N
authors.lastname: Magunska
authors.forename: Iv
authors.initials: I
authors.lastname: Kostov
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D000267:Tissue Adhesions / Q000209:etiology* / Q000473:pathology; D063186:Uterine Myomectomy / Q000009:adverse effects*; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D014599:Uterus / Q000473:pathology / Q000601:surgery*