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Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM)
Introduction: Laparoscopic myomectomy has recently gained wide acceptance but this procedure remains technically highly demanding and concerns have been raised about the increased blood loss and an higher risk of postoperative uterine rupture of the pregnant uterus. Objective: The aim of the present...
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Published in: | Gynecological endocrinology 2013-01, Vol.29 (1), p.79-82 |
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creator | Cela, V. Freschi, L. Simi, G. Tana, R. Russo, N. Artini, P. G. Pluchino, N. |
description | Introduction: Laparoscopic myomectomy has recently gained wide acceptance but this procedure remains technically highly demanding and concerns have been raised about the increased blood loss and an higher risk of postoperative uterine rupture of the pregnant uterus. Objective: The aim of the present study is to evaluate the fertility and endocrine outcome in women underwent robot-assisted laparoscopic myomectomy (RALM). Methods: Data from 48 RALM performed in our department between the years 2007 and 2011 have been collected. Conception rate, abortion rate, incidence of feto-maternal morbidity or severe pregnancy and labor-related complications were reported; FSH and AMH levels and ultrasound valuation of AFC has been made before and 6 months after operation. Number of cesarean sections and vaginal deliveries were described. Results: The average age of the patients was 35 years and median Body Mass Index was 23 kg/m2 (range 18-35 kg/m2). Seven women (13%) became pregnant after RALM with eight pregnancies. One pregnancy is actually on going; there were six deliveries with caesarian section and one spontaneous delivery. No spontaneous abortions. No uterine ruptures occurred. No significant modification of ovarian function was found after myomectomy. Conclusion: RALM seems to have a favorable impact on the reproductive outcome of young patients with no impact on the ovarian function. |
doi_str_mv | 10.3109/09513590.2012.705393 |
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G. ; Pluchino, N.</creator><creatorcontrib>Cela, V. ; Freschi, L. ; Simi, G. ; Tana, R. ; Russo, N. ; Artini, P. G. ; Pluchino, N.</creatorcontrib><description>Introduction: Laparoscopic myomectomy has recently gained wide acceptance but this procedure remains technically highly demanding and concerns have been raised about the increased blood loss and an higher risk of postoperative uterine rupture of the pregnant uterus. Objective: The aim of the present study is to evaluate the fertility and endocrine outcome in women underwent robot-assisted laparoscopic myomectomy (RALM). Methods: Data from 48 RALM performed in our department between the years 2007 and 2011 have been collected. Conception rate, abortion rate, incidence of feto-maternal morbidity or severe pregnancy and labor-related complications were reported; FSH and AMH levels and ultrasound valuation of AFC has been made before and 6 months after operation. Number of cesarean sections and vaginal deliveries were described. Results: The average age of the patients was 35 years and median Body Mass Index was 23 kg/m2 (range 18-35 kg/m2). Seven women (13%) became pregnant after RALM with eight pregnancies. One pregnancy is actually on going; there were six deliveries with caesarian section and one spontaneous delivery. No spontaneous abortions. No uterine ruptures occurred. No significant modification of ovarian function was found after myomectomy. Conclusion: RALM seems to have a favorable impact on the reproductive outcome of young patients with no impact on the ovarian function.</description><identifier>ISSN: 0951-3590</identifier><identifier>EISSN: 1473-0766</identifier><identifier>DOI: 10.3109/09513590.2012.705393</identifier><identifier>PMID: 22835042</identifier><language>eng</language><publisher>England: Informa Healthcare</publisher><subject>Abortion, Spontaneous - epidemiology ; Abortion, Spontaneous - prevention & control ; Adult ; Cesarean Section - statistics & numerical data ; Endocrine System - physiology ; Female ; Fertility ; Fertility - physiology ; Humans ; Incidence ; Infertility, Female - epidemiology ; Infertility, Female - prevention & control ; Leiomyoma - epidemiology ; Leiomyoma - surgery ; Morbidity ; myomectomy ; Obstetric Labor Complications - epidemiology ; Obstetric Labor Complications - prevention & control ; Ovary - physiology ; Postoperative Complications - epidemiology ; Postoperative Complications - prevention & control ; Pregnancy ; Pregnancy Rate ; RALM ; Robotics ; Uterine Myomectomy - adverse effects ; Uterine Myomectomy - instrumentation ; Uterine Myomectomy - methods ; Uterine Neoplasms - epidemiology ; Uterine Neoplasms - surgery</subject><ispartof>Gynecological endocrinology, 2013-01, Vol.29 (1), p.79-82</ispartof><rights>2013 Informa UK, Ltd. 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-89134d1d4bbb70a7fb6001952139e3381bd2a5e2cc68f1fcbe4e860a7f8b999c3</citedby><cites>FETCH-LOGICAL-c418t-89134d1d4bbb70a7fb6001952139e3381bd2a5e2cc68f1fcbe4e860a7f8b999c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22835042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cela, V.</creatorcontrib><creatorcontrib>Freschi, L.</creatorcontrib><creatorcontrib>Simi, G.</creatorcontrib><creatorcontrib>Tana, R.</creatorcontrib><creatorcontrib>Russo, N.</creatorcontrib><creatorcontrib>Artini, P. G.</creatorcontrib><creatorcontrib>Pluchino, N.</creatorcontrib><title>Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM)</title><title>Gynecological endocrinology</title><addtitle>Gynecol Endocrinol</addtitle><description>Introduction: Laparoscopic myomectomy has recently gained wide acceptance but this procedure remains technically highly demanding and concerns have been raised about the increased blood loss and an higher risk of postoperative uterine rupture of the pregnant uterus. Objective: The aim of the present study is to evaluate the fertility and endocrine outcome in women underwent robot-assisted laparoscopic myomectomy (RALM). Methods: Data from 48 RALM performed in our department between the years 2007 and 2011 have been collected. Conception rate, abortion rate, incidence of feto-maternal morbidity or severe pregnancy and labor-related complications were reported; FSH and AMH levels and ultrasound valuation of AFC has been made before and 6 months after operation. Number of cesarean sections and vaginal deliveries were described. Results: The average age of the patients was 35 years and median Body Mass Index was 23 kg/m2 (range 18-35 kg/m2). Seven women (13%) became pregnant after RALM with eight pregnancies. One pregnancy is actually on going; there were six deliveries with caesarian section and one spontaneous delivery. No spontaneous abortions. No uterine ruptures occurred. No significant modification of ovarian function was found after myomectomy. Conclusion: RALM seems to have a favorable impact on the reproductive outcome of young patients with no impact on the ovarian function.</description><subject>Abortion, Spontaneous - epidemiology</subject><subject>Abortion, Spontaneous - prevention & control</subject><subject>Adult</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Endocrine System - physiology</subject><subject>Female</subject><subject>Fertility</subject><subject>Fertility - physiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infertility, Female - epidemiology</subject><subject>Infertility, Female - prevention & control</subject><subject>Leiomyoma - epidemiology</subject><subject>Leiomyoma - surgery</subject><subject>Morbidity</subject><subject>myomectomy</subject><subject>Obstetric Labor Complications - epidemiology</subject><subject>Obstetric Labor Complications - prevention & control</subject><subject>Ovary - physiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>RALM</subject><subject>Robotics</subject><subject>Uterine Myomectomy - adverse effects</subject><subject>Uterine Myomectomy - instrumentation</subject><subject>Uterine Myomectomy - methods</subject><subject>Uterine Neoplasms - epidemiology</subject><subject>Uterine Neoplasms - surgery</subject><issn>0951-3590</issn><issn>1473-0766</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLxDAUhYMozvj4ByJdjouOefSVjTKILxgRfKxDkt4yGdpmTFKk_96WGQU3s7qb755z-BC6IHjOCObXmKeEpRzPKSZ0nuOUcXaApiTJWYzzLDtE0xGJR2aCTrxfY0xYktNjNKG0YClO6BS9P4ALpjahj2RbRtCWVjvTQmS7oG0DkawCuMhZZUMsvTc-QBnVciOd9dpujI6afuB0sE0fzd4Wy5erM3RUydrD-e6eos-H-4-7p3j5-vh8t1jGOiFFiAs-zClJmSilcizzSmXDQp5SwjgwVhBVUpkC1TorKlJpBQkU2QgWinOu2SmabXM3zn514INojNdQ17IF23lBKCWEFnlOBjTZonqY7R1UYuNMI10vCBajTvGrU4w6xVbn8Ha5a-hUA-Xf06-_AbjdAqatrGvkt3V1KYLsa-sqJ1tt_Bi_t-LmX8IKZB1WWjoQa9u5dhC4f-MP3Q-Xnw</recordid><startdate>201301</startdate><enddate>201301</enddate><creator>Cela, V.</creator><creator>Freschi, L.</creator><creator>Simi, G.</creator><creator>Tana, R.</creator><creator>Russo, N.</creator><creator>Artini, P. G.</creator><creator>Pluchino, N.</creator><general>Informa Healthcare</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201301</creationdate><title>Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM)</title><author>Cela, V. ; Freschi, L. ; Simi, G. ; Tana, R. ; Russo, N. ; Artini, P. G. ; Pluchino, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-89134d1d4bbb70a7fb6001952139e3381bd2a5e2cc68f1fcbe4e860a7f8b999c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abortion, Spontaneous - epidemiology</topic><topic>Abortion, Spontaneous - prevention & control</topic><topic>Adult</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Endocrine System - physiology</topic><topic>Female</topic><topic>Fertility</topic><topic>Fertility - physiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infertility, Female - epidemiology</topic><topic>Infertility, Female - prevention & control</topic><topic>Leiomyoma - epidemiology</topic><topic>Leiomyoma - surgery</topic><topic>Morbidity</topic><topic>myomectomy</topic><topic>Obstetric Labor Complications - epidemiology</topic><topic>Obstetric Labor Complications - prevention & control</topic><topic>Ovary - physiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>RALM</topic><topic>Robotics</topic><topic>Uterine Myomectomy - adverse effects</topic><topic>Uterine Myomectomy - instrumentation</topic><topic>Uterine Myomectomy - methods</topic><topic>Uterine Neoplasms - epidemiology</topic><topic>Uterine Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cela, V.</creatorcontrib><creatorcontrib>Freschi, L.</creatorcontrib><creatorcontrib>Simi, G.</creatorcontrib><creatorcontrib>Tana, R.</creatorcontrib><creatorcontrib>Russo, N.</creatorcontrib><creatorcontrib>Artini, P. G.</creatorcontrib><creatorcontrib>Pluchino, N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gynecological endocrinology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cela, V.</au><au>Freschi, L.</au><au>Simi, G.</au><au>Tana, R.</au><au>Russo, N.</au><au>Artini, P. G.</au><au>Pluchino, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM)</atitle><jtitle>Gynecological endocrinology</jtitle><addtitle>Gynecol Endocrinol</addtitle><date>2013-01</date><risdate>2013</risdate><volume>29</volume><issue>1</issue><spage>79</spage><epage>82</epage><pages>79-82</pages><issn>0951-3590</issn><eissn>1473-0766</eissn><abstract>Introduction: Laparoscopic myomectomy has recently gained wide acceptance but this procedure remains technically highly demanding and concerns have been raised about the increased blood loss and an higher risk of postoperative uterine rupture of the pregnant uterus. Objective: The aim of the present study is to evaluate the fertility and endocrine outcome in women underwent robot-assisted laparoscopic myomectomy (RALM). Methods: Data from 48 RALM performed in our department between the years 2007 and 2011 have been collected. Conception rate, abortion rate, incidence of feto-maternal morbidity or severe pregnancy and labor-related complications were reported; FSH and AMH levels and ultrasound valuation of AFC has been made before and 6 months after operation. Number of cesarean sections and vaginal deliveries were described. Results: The average age of the patients was 35 years and median Body Mass Index was 23 kg/m2 (range 18-35 kg/m2). Seven women (13%) became pregnant after RALM with eight pregnancies. One pregnancy is actually on going; there were six deliveries with caesarian section and one spontaneous delivery. No spontaneous abortions. No uterine ruptures occurred. No significant modification of ovarian function was found after myomectomy. Conclusion: RALM seems to have a favorable impact on the reproductive outcome of young patients with no impact on the ovarian function.</abstract><cop>England</cop><pub>Informa Healthcare</pub><pmid>22835042</pmid><doi>10.3109/09513590.2012.705393</doi><tpages>4</tpages></addata></record> |
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subjects | Abortion, Spontaneous - epidemiology Abortion, Spontaneous - prevention & control Adult Cesarean Section - statistics & numerical data Endocrine System - physiology Female Fertility Fertility - physiology Humans Incidence Infertility, Female - epidemiology Infertility, Female - prevention & control Leiomyoma - epidemiology Leiomyoma - surgery Morbidity myomectomy Obstetric Labor Complications - epidemiology Obstetric Labor Complications - prevention & control Ovary - physiology Postoperative Complications - epidemiology Postoperative Complications - prevention & control Pregnancy Pregnancy Rate RALM Robotics Uterine Myomectomy - adverse effects Uterine Myomectomy - instrumentation Uterine Myomectomy - methods Uterine Neoplasms - epidemiology Uterine Neoplasms - surgery |
title | Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM) |
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