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

Abstract

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 fertility

Methods 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.