Original articles

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

Renardo Lourens, T I Siebert, T F Kruger, J P van der Merwe

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.

Authors' affiliations

Renardo Lourens, University of Stellenbosch

T I Siebert,

T F Kruger,

J P van der Merwe,

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Keywords

laparoscopy, myomectomy, fertility, fibroids, intramural

Cite this article

South African Journal of Obstetrics and Gynaecology 2011;17(3):56,58,59,60,62.

Article History

Date submitted: 2011-05-29
Date published: 2011-08-22

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