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Published on: January 17, 2019
Pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure
P G Paul1, Aby K Koshy, Tony Thomas
1Center for Advanced Endoscopy and Infertility Treatment, Paul's Hospital, Cochin, Kerala, India.
Background:
To evaluate pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure.
Methods:
This study conducted at a private advanced endoscopy and assisted reproductive technology centre retrospectively evaluated outcomes of 115 women who had pregnancies subsequent to laparoscopic myomectomy.
Results:
Of the 217 women followed up, 115 had pregnancies subsequent to a laparoscopic myomectomy. Of 141 pregnancies, there were 87 Caesarean sections, 19 vaginal deliveries, 29 abortions and 6 ectopic pregnancies. There were no incidents of uterine scar rupture in any of these pregnancies.
Conclusions:
Uterine rupture during pregnancies following laparoscopic myomectomy is rare following single-layer myometrial closure.