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Updated: Aug 1, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Pregnancy outcomes and deliveries after laparoscopic myomectomy
Stefano Landi1, Andrea Fiaccavento, Riccardo Zaccoletti
1Department of Obstetrics and Gynecology, Ospedale S. Cuore-Don Calabria, Negrar, Verona, Italy.
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.
