Pregnancy outcome after laparoscopic cryomyolysis of uterine myomas: report of nine cases

Journal of Minimally Invasive Gynecology
A CiavattiniA L Tranquilli

Abstract

To assess pregnancy course and outcome after laparoscopic cryomyolysis. Open, one-arm, observational clinical pilot study. (Canadian Task Force classification II). University-affiliated public hospital. Nine women who underwent laparoscopic cryomyolysis, with nine pregnancies observed. Laparoscopic cryomyolysis was performed by penetrating along the long axis of the myoma and provoking freezing at temperature -197 degrees C. After laparoscopic-directed cryomyolysis, pregnant women were evaluated by physical and ultrasonographics examinations. The median time elapsed between cryomyolysis and pregnancy was 14 months (range 7-39 months). At the beginning of pregnancy, the mean volume of myomas was 30.4 mL (range 1.8-124.6 mL). During the first 20 gestational weeks, the mean increase in volume of the nine cryo-treated myomas was 71.1% (range 21.8%-97.7%); the volume of two myomas remained stationary, and two new myomas appeared. Two patients had early miscarriage. Seven pregnancies had a regular course. Four women delivered vaginally, and three by cesarean section. There were no complications in pregnancy, postpartum, and puerperium. No cases of uterine rupture were observed. The results of this series of nine pregnancies after lap...Continue Reading

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May 22, 2007·Surgical Endoscopy·Fabio GhezziMassimo Franchi
Nov 4, 2006·Clinical Obstetrics and Gynecology·Errico ZupiMalcolm G Munro
Jul 31, 2009·Journal of Biomechanical Engineering·Raghav GoelJohn C Bischof
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