OBJECTIVE: The purpose of this study was to evaluate indications and complications of laparoscopic myomectomy with regard to the reproductive outcome of @entity249 @entity1 with a large @entity7996 . METHODS: From January 1997 to July 1999, 144 @entity1 underwent laparoscopic myomectomy for a @entity1868 measuring > or = 5 cm in diameter. Indications for surgery were increase in size of @entity1868 in @entity249 @entity1 (70.8%), @entity158 (44.4%) or @entity548 (68%). Average size of @entity1868 were 7.8 cm with a range of 5 cm to 18 cm. The @entity1868 were intramural/submucosal (n = 108), subserosal (n = 15), intraligamentous (n = 14) and peduncolated (n = 7). The laparotomy conversion rate was 1.39% (n = 2); one case required a blood transfusion. Operating time ranged from 58 to 180 minutes with an average of 95 minutes. Average hospital stay was 2.6 days and the overall complication rate was 2.08%. Eighteen @entity1 (12.5%) underwent second-look laparoscopy. The rate of @entity86 was 33.3%; there were no adnexal adhesions. In all cases ultrasonography was done one day after the operation and five weeks postoperatively to compare wound healing, the last control showed an irregular hypodense area in only 14 @entity1 (9.7%). RESULTS: Twenty-six @entity1 operated on in 1997 went on to conceive: nine vaginal deliveries, 12 Caesarean sections, four miscarriages and one ectopic pregnancy. No uterine rupture was observed. The pregnancy rate for @entity1 submitted to laparoscopic myomectomy in 1997 (n = 38) was 34.21% at six months (n = 13) and 55.26% (n = 21) at 12 months after the procedures. CONCLUSIONS: Our preliminary results confirm that conception occurs in the majority of @entity249 @entity1 with a large @entity7996 who undergo myomectomy and second-look laparoscopy leads to a low complication rate.

Fertility after laparoscopic myomectomy of large uterine XXXX : operative technique and preliminary results.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity249 :: ('MESH:D007246', 'Disease') :: ['infertile'] @entity548 :: ('MESH:D006470', 'Disease') :: ['abnormal bleeding'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative adhesion'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity7996 :: ('MESH:D014594', 'Disease') :: ['leiomyomatous uterus'] @entity1868 :: ('MESH:D009214', 'Disease') :: ['myomas', 'myoma']
@entity1868 :: (MESH:D009214,Disease) :: ['myomas']
