Reproductive outcome after laparoscopic myomectomy--retrospective analysis 1994-2007
Kucera, E.; Mandys, F.; Drahonovský, J.; Martin, D.; Procházka, B.
Ceska gynekologie 74(6): 431-436
2009
ISSN/ISBN: 1210-7832 PMID: 21246791 Document Number: 633007
The aim of the study was to analyse the reproductive outcome after laparoscopic myomectomy (LM) in infertile patients. Between the years 1994-2007 were 351 infertile women operated in our department. The average age of the patients was 33.5. The total number of extirpated fibroids was 643, with the average of 1.7 per patient and the average size of 3.3 cm. 171 women (48.7%) became pregnant after LM. There were 119 deliveries, 16 spontaneous abortions and 6 ectopic pregnancies in this group. The caesarean section (CS) rate was 46.2% . Intramural localisation of the fibroid significantly correlated with the termination of pregnancy by CS. I. and II. trimester pregnancy loss correlated significantly with deep coagulation when conception occurred during 12 months after surgery. No uterine rupture was observed during pregnancy.