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Updated: Jul 15, 2026
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Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: reproductive
Stefano Palomba1, Errico Zupi, Angela Falbo
1Department of Obstetrics & Gynecology, University Magna Graecia of Catanzaro, Catanzaro, Italy. stefanopalomba@tin.it
Fertility and Sterility
|April 17, 2007
Summary
Laparoscopic myomectomy offers better pregnancy and live-birth rates per cycle than minilaparotomic myomectomy for symptomatic women. Both surgical methods yield similar reproductive outcomes for unexplained infertility.
Area of Science:
- Reproductive medicine
- Minimally invasive gynecologic surgery
Background:
- Uterine leiomyomas (fibroids) are common and can impact fertility.
- Surgical options like myomectomy aim to preserve reproductive potential.
Purpose of the Study:
- To compare reproductive outcomes following laparoscopic versus minilaparotomic myomectomy.
- To evaluate the efficacy of each approach based on indication for surgery (symptomatic vs. unexplained infertility).
Main Methods:
- Randomized controlled trial involving 136 women.
- Comparison of laparoscopic myomectomy and minilaparotomic myomectomy.
- Assessment of pregnancy, abortion, and live-birth rates.
Main Results:
- No difference in cumulative pregnancy, live-birth, or abortion rates between groups.
- Laparoscopic myomectomy showed significantly higher per-cycle pregnancy and live-birth rates and shorter time to pregnancy.
- These benefits were more pronounced in symptomatic patients; outcomes were similar for unexplained infertility.
Conclusions:
- Laparoscopic myomectomy is superior to minilaparotomic myomectomy for improving reproductive outcomes in women with symptomatic uterine fibroids.
- Both methods offer similar reproductive benefits for patients with unexplained infertility.
