Original ArticlePregnancy Outcomes and Risk Factors for Uterine Rupture After Laparoscopic Myomectomy: A Single-Center Experience and Literature Review
Section snippets
Methods
We performed a retrospective review of medical records of all consecutive patients who underwent LSM at Cheil General Hospital and Women's Healthcare Center between August 1994 and December 2012, and later had a pregnancy, which was defined as a visible gestational sac on sonography. Regardless of the surgical indication and combined surgery performed, patients were included if all surgical specimens were benign and uterine leiomyomas were laparoscopically excised. We excluded cases of
Results
We identified a total of 676 women who had a pregnancy after LSM. Of the 676 patients, 153 women were lost to follow-up or had an ongoing pregnancy at the time of data collection. The remaining 523 women who were followed until the end of their pregnancies were included in the present study. The mean age of the patients was 31.7 years, and most (91.6%) were nulliparous (Table 1). One myoma was removed in 64.8% of cases, and multiple myomas were removed in 35.2% of cases. The mean diameter of
Discussion
Through approximately 20 years of experience, we demonstrated that LSM can be safely performed in women of reproductive age with acceptable surgical and obstetrical outcomes. Among 523 pregnancies, only 3 (0.6%) cases of uterine rupture occurred. We found no association between patient characteristics or clinical features of myomas and uterine rupture.
In a recent systemic review [6], the authors analyzed 9 randomized controlled trials (RCTs) that compared the outcomes of LSM and AM with regard
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The authors declare no conflicts of interest.