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01.11.2012 | General Gynecology

Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas

verfasst von: Antonio Macciò, Clelia Madeddu, Paraskevas Kotsonis, Antonio Caffiero, Angelo Desogus, Michele Pietrangeli, Anna Maria Paoletti

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2012

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Abstract

Purpose

Laparoscopic myomectomy during pregnancy is indicated when symptoms related to uterine myomas persist despite pharmacologic therapy; however, currently there is very little information concerning its safety.

Methods

We report three cases of antepartum laparoscopic myomectomy performed to manage complicated myomas requiring surgical intervention.

Results

In particular, we report for the first time in literature the laparoscopic removal of two myomas in a patient during a single surgery performed in the 19th week of pregnancy followed by additional multiple myomectomy at the time of the cesarean section. All surgeries were without complication.

Conclusions

Our experience suggests that laparoscopic myomectomy may be performed safely during pregnancy; even more studies are needed to establish the exact rate of adverse events.

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Titel: Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas
verfasst von: Antonio Macciò
Clelia Madeddu
Paraskevas Kotsonis
Antonio Caffiero
Angelo Desogus
Michele Pietrangeli
Anna Maria Paoletti
Publikationsdatum: 01.11.2012
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 5/2012
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2441-0

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Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas