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Updated: May 20, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas
Antonio Macciò1, Clelia Madeddu, Paraskevas Kotsonis
1Department of Obstetrics and Gynecology, Sirai Hospital, 09013 Carbonia, Italy. a.maccio@tin.it
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.
