Evaluation of factors contributing to uterine scar formation after laparoscopic myomectomy

Acta Obstetricia Et Gynecologica Scandinavica
Jun KumakiriSatoru Takeda

Abstract

To evaluate factors contributing to uterine scar formation after laparoscopic myomectomy (LM) and to estimate whether uterine scarring indicated risk of uterine rupture. Retrospective study. University-affiliated hospital. A total of 692 patients who underwent second-look laparoscopy (SLL) after LM. Video-tape recording during SLL to evaluate the conditions of uterine suture wound healing, with univariate and logistic regression analysis. Correlation between scar formation and operative findings at LM. Factors influencing scar formation in 305 patients with an enucleated solitary myoma. SLL revealed that 628 patients (90.8%) had a normal uterus and 64 patients (9.2%) had a scarred uterus. Deformation of the endometrium found by preoperative imaging and complete myometrial penetration during LM had a positive correlation and the number of enucleated myomas a negative correlation with scar formation. Significant factors associated with scar formation were complete myometrial penetration (odds ratio, 2.53; 95% confidence interval, 1.30-4.93; p = 0.006) and enucleation of a subserosal myoma (odds ratio, 0.23; 95% confidence interval, 0.08-0.70; p = 0.009). Of the 98 patients who delivered, none suffered a uterine rupture regardless...Continue Reading

Citations

Dec 16, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Jun KumakiriSatoru Takeda
Feb 26, 2013·Fertility and Sterility·Jehn-Hsiahn YangYu-Shih Yang
Sep 16, 2021·International Journal of Clinical Practice·Serif AksinMehmet Rifat Goklu

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