Pregnancy outcomes and deliveries after laparoscopic myomectomy.

Study Objective: To assess pregnancy outcomes and deliveries after laparoscopic myomectomy.

Design: Retrospective study (Canadian Task Force classification II-2).

Setting: General hospital.

Patients: Three hundred fifty-nine women.

Interventions: Laparoscopic myomectomy and laparoscopic and/or hysteroscopic treatment of associated pathologies.

Measurements And Main Results: Five patients (1.39%) were lost to follow-up. Seventy-two women were pregnant at least once after laparoscopic myomectomy, for a total of 76 pregnancies. Four women conceived twice and four are pregnant as of this writing. One multiple pregnancy occurred. Twelve pregnancies resulted in first-trimester miscarriage, one in an ectopic pregnancy, one in a blighted ovum, and one in a hydatiform mole. One patient underwent elective first-trimester termination of pregnancy. Thirty-one women had vaginal delivery at term and 26 were delivered by cesarean section. No case of uterine rupture or dehiscence occurred.

Conclusion: Our technique of laparoscopic myomectomy appears to allow safe vaginal delivery.