Complications in laparoscopic myomectomy

Surgical Endoscopy
C AltgassenA Schneider

Abstract

An increasing number of patients with fibroids wish to retain their uterus without improving fertility. We evaluated the rate of complications in our teaching hospital and its association with patients' age. Chart records of 351 patients were evaluated according to patients' age. A total of 654 fibroids were removed. Mean size of fibroids was 5.3 cm; mean duration of surgery was 113.2 min. Blood transfusion was necessary in one patient. The intraoperative complication rate was 2.6% and postoperative complications occurred in 5.7% of patients. Sonographic evaluation showed a hyperechogenic scar in 29.2%. A total of 57.1% pregnancies ended in term infants. No uterine rupture was reported. As a sign of contentment, 87% of patients would choose the same procedure again. Indication for myomectomy in elder women was more often associated with uncertain sonographic findings due to intraligamentary localization. Morbidity was low. Age had no impact. Laparoscopic myomectomy can be offered to all women.

References

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Citations

Jul 29, 2008·Current Opinion in Obstetrics & Gynecology·Edgardo SomiglianaLuigi Fedele
Nov 13, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·G KayemG Girard
Mar 27, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marc P RadosaIngo B Runnebaum
Jun 29, 2007·Journal de gynécologie, obstétrique et biologie de la reproduction·C MalarticE Barranger
Sep 24, 2011·Journal of Minimally Invasive Gynecology·Dae Woo LeeHae Nam Lee
Mar 18, 2011·Fertility and Sterility·Pierre-François CeccaldiLaurent Mandelbrot
Apr 7, 2009·Obstetrics and Gynecology Clinics of North America·Mary Anne Jamieson
Dec 25, 2007·Fertility and Sterility·Elizabeth Taylor, Victor Gomel
Jul 17, 2007·Journal of Minimally Invasive Gynecology·Ornella SizziEmilio Stola
Jun 8, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Celine Lönnerfors, Jan Persson
Jul 13, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M P RadosaI B Runnebaum
May 20, 2014·Maturitas·Pasquapina CiarmelaMario Castellucci
Aug 15, 2014·Journal of Minimally Invasive Gynecology·Victoria A BuckleyJason A Abbott
Nov 9, 2010·Taiwanese Journal of Obstetrics & Gynecology·Szu-Yu ChenWen-Chun Chang
Jan 21, 2017·Journal of Minimally Invasive Gynecology·Elisabeth Mary Ruth BeanErtan Saridogan
Jun 12, 2020·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Guangping WuHongbo Qi
Apr 26, 2018·BioMed Research International·V TanosR L DeWilde
Jul 25, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·G CheneA Agostini

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