C E Miller1, M Johnston, M Rundell. 1. Center for Human Reproduction, 1900 East Golf Road, Schaumburg, IL 60173, USA.
Abstract
STUDY OBJECTIVE: To compare the outcome of the procedure we developed for laparoscopic myomectomy with outcomes reported in the literature for open and laparoscopic myomectomies. DESIGN: Prospective trial. SETTING: Lutheran General Hospital, Park Ridge, IL. PATIENTS: Forty-one consecutive infertile women who met selection criteria that were based on our experience with 15 initial laparoscopic myomectomies. INTERVENTION: Laparoscopic myomectomy. MEASUREMENTS AND MAIN RESULTS: Laparoscopic myomectomy was attempted in 41 and completed successfully in 40 women with minimal blood loss. Beyond the single conversion there were no major complications. The pregnancy rate within a year of the procedure was 75% (30 women) and viable term delivery rate was 65% (26 women). CONCLUSIONS: Pregnancy and viable term delivery rates compared favorably with those after open myomectomy procedures. Laparoscopic myomectomy was effective for selected patients experiencing infertility.
STUDY OBJECTIVE: To compare the outcome of the procedure we developed for laparoscopic myomectomy with outcomes reported in the literature for open and laparoscopic myomectomies. DESIGN: Prospective trial. SETTING: Lutheran General Hospital, Park Ridge, IL. PATIENTS: Forty-one consecutive infertilewomen who met selection criteria that were based on our experience with 15 initial laparoscopic myomectomies. INTERVENTION: Laparoscopic myomectomy. MEASUREMENTS AND MAIN RESULTS: Laparoscopic myomectomy was attempted in 41 and completed successfully in 40 women with minimal blood loss. Beyond the single conversion there were no major complications. The pregnancy rate within a year of the procedure was 75% (30 women) and viable term delivery rate was 65% (26 women). CONCLUSIONS: Pregnancy and viable term delivery rates compared favorably with those after open myomectomy procedures. Laparoscopic myomectomy was effective for selected patients experiencing infertility.
Authors: Gary Levy; Micah J Hill; Stephanie Beall; Shvetha M Zarek; James H Segars; William H Catherino Journal: J Assist Reprod Genet Date: 2012-05-15 Impact factor: 3.412