Related Experiment Videos
Laparoscopic myomectomy in the infertile woman
C E Miller1, M Johnston, M Rundell
1Center for Human Reproduction, 1900 East Golf Road, Schaumburg, IL 60173, USA.
Study Objective:
To compare the outcome of the procedure we developed for laparoscopic myomectomy with outcomes reported in the literature for open and laparoscopic myomectomies.
Design:
Prospective trial.
Setting:
Lutheran General Hospital, Park Ridge, IL.
Patients:
Forty-one consecutive infertile women who met selection criteria that were based on our experience with 15 initial laparoscopic myomectomies.
Intervention:
Laparoscopic myomectomy.
Measurements And Main Results:
Laparoscopic myomectomy was attempted in 41 and completed successfully in 40 women with minimal blood loss. Beyond the single conversion there were no major complications. The pregnancy rate within a year of the procedure was 75% (30 women) and viable term delivery rate was 65% (26 women).
Conclusions:
Pregnancy and viable term delivery rates compared favorably with those after open myomectomy procedures. Laparoscopic myomectomy was effective for selected patients experiencing infertility.