Pregnancy outcomes following different surgical approaches of myomectomy

Aim The aim of this study was to compare the feasibility, reliability, safety and pregnancy outcomes following transabdominal myomectomy (TAM) and laparoscopic myomectomy (LM) at Beijing Obstetrics and Gynecology Hospital. Material and Methods The study included two parts: between January 2005 and D...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2015-03, Vol.41 (3), p.350-357
Main Authors: Tian, Yu-cui, Long, Teng-fei, Dai, Yin-mei
Format: Article
Language:English
Subjects:
Adult
Cesarean Section
Cicatrix - complications
Female
Fertility Preservation
Humans
Laparoscopy
Leiomyoma - surgery
myomectomy
obstetrics characteristics
Pregnancy
Pregnancy Outcome
Pregnancy Rate
Prospective Studies
Retrospective Studies
uterine dehiscence
Uterine Myomectomy - adverse effects
Uterine Myomectomy - methods
Uterine Neoplasms - surgery
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Summary:Aim The aim of this study was to compare the feasibility, reliability, safety and pregnancy outcomes following transabdominal myomectomy (TAM) and laparoscopic myomectomy (LM) at Beijing Obstetrics and Gynecology Hospital. Material and Methods The study included two parts: between January 2005 and December 2010, data on 157 patients were retrospectively collected; and between January 2011 and January 2013, 111 patients were prospectively collected. All of them had fertility requirements following myomectomy. Patients' demographics, leiomyomas' characteristics, perioperative data regarding surgical complications, relapses, subsequent pregnancy outcomes and obstetric characteristics were collected. Results The patients' demographics and leiomyoma characteristics were comparable in the TAM and LM groups (P > 0.05). There was no significant difference in the average drop in hemoglobin between the two groups (P = 0.887), while the postoperative ileus duration, postoperative ambulation duration and dose of analgesia were significantly higher in the TAM group (P 
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.12532