AI Article Synopsis
- Laparoscopic myomectomy during pregnancy can be considered for patients with symptomatic uterine myomas when medication fails, but safety information is limited.
- Three cases of successful antepartum laparoscopic myomectomies were reported, including a unique case of removing two myomas in a single surgery during the 19th week of pregnancy.
- Results indicate these procedures were complication-free, suggesting that laparoscopic myomectomy might be safe during pregnancy, but further research is necessary to assess potential risks.
Article Abstract
Purpose: Laparoscopic myomectomy during pregnancy is indicated when symptoms related to uterine myomas persist despite pharmacologic therapy; however, currently there is very little information concerning its safety.
Methods: We report three cases of antepartum laparoscopic myomectomy performed to manage complicated myomas requiring surgical intervention.
Results: In particular, we report for the first time in literature the laparoscopic removal of two myomas in a patient during a single surgery performed in the 19th week of pregnancy followed by additional multiple myomectomy at the time of the cesarean section. All surgeries were without complication.
Conclusions: Our experience suggests that laparoscopic myomectomy may be performed safely during pregnancy; even more studies are needed to establish the exact rate of adverse events.
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| http://dx.doi.org/10.1007/s00404-012-2441-0 | DOI Listing |
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