Obstetric outcomes after uterine myomectomy: Laparoscopic versus laparotomic approach.
10.5468/ogs.2013.56.6.375
- Author:
Myo Sun KIM
1
;
You Kyoung UHM
;
Ju Yeong KIM
;
Byung Chul JEE
;
Yong Beom KIM
Author Information
1. Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Laparoscopic myomectomy;
Laparotomic myomectomy;
Myomectomy;
Obstetric outcome
- MeSH:
Abruptio Placentae;
Female;
Follow-Up Studies;
Humans;
Hysterectomy;
Laparoscopy*;
Leiomyoma;
Postpartum Hemorrhage;
Pregnancy;
Retrospective Studies;
Suture Techniques;
Uterine Myomectomy*;
Uterine Rupture
- From:Obstetrics & Gynecology Science
2013;56(6):375-381
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To compare the pregnancy-related complications after laparoscopic and laparotomic uterine myomectomy. METHODS: A retrospective study of 415 women who received laparoscopic (n = 340) or laparotomic (n = 75) resection of uterine leiomyomas in one center. The mean follow-up period was 26.5 months in laparoscopic group and 23.9 months in laparotomic group. RESULTS: Fifty-four and 12 pregnancies occurred in laparoscopic and laparotomic myomectomy group, respectively. The major obstetric outcomes were similar between two groups. There was no ectopic pregnancy or preterm birth. There were two cases of obstetric complication in laparoscopic group only; one experienced neonatal death and postpartum hemorrhage due to placental abruption and the other underwent subtotal hysterectomy due to uterine dehiscence identified during Cesarean section. CONCLUSION: Uterine rupture or dehiscence after laparoscopic myomectomy occurred in 3.7% (2/54) which lead to unfavorable outcome. Appropriate selection of patients and secure suture techniques appears to be important for laparotomic myomectomy in reproductive-aged women.
