Laparoscopic Myomectomy for infertile patients with intramural fibroids: a retrospective study at a tertiary endoscopic centre

South African Journal of Obstetrics and Gynaecology

T I Siebert¹  T F Kruger¹  Renardo Lourens²  J P van der Merwe¹ 

[1] University of Stellenbosch

关键词: Invasive procedures;    HIV infection;    mother-to-child transmission;   

DOI  :  

学科分类：农业科学（综合）

来源: South African Medical Association

【 摘 要 】

Background: The safety of laparoscopic myomectomy has been questioned especially in the case of intramural fibroids.Objectives: To assess the safety of a laparoscopic myomectomy for intramural fibroids and study the subsequent effect on fertilityMethods and Settings: A retrospective study of a tertiary endoscopic centre specialising in laparoscopic myomectomy.Results: 87 Patients were studied and there were no major complications. The conversion rate from laparoscopy to laparotomy was 3/87 (3.4%) due to multiple fibroids. There was one case of uterine perforation during hysteroscopy. The overall pregnancy rate was 29/64 (45%) with a spontaneous pregnancy rate of 18/29 (62%).Conclusions: Laparoscopic myomectomy can be regarded as a safe alternative to abdominal myomectomy in the hands of the experienced surgeon resulting in good subsequent pregnancy rates.

【 授权许可】

Unknown