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1Moscow regional scientific and research institute obstetrics and gynaecology, Russia
*Corresponding author: Alexander A Popov, Moscow regional scientific and research institute obstetrics and gynaecology, 101000 Russian Federation, Moscow, Pokrovka st.22A
Submission: January 25, 2018;Published: May 31, 2018
ISSN: 2640-9666Volume2 Issue2
Introduction: The incidence of uterine fibroid in the general female population is estimated at 20-25%. A laparoscopic approach is more advantageous than laparotomy in postoperative pain, necessity of analgesia, recovery time, febrile morbidity and blood loss. Obstetric outcomes after 415 uterine myomectomies by laparoscopic versus laparotomic approach and did not describe any uterine dehiscence or rupture before or during delivery and the principal obstetric outcomes were similar between two groups.
Material and Method: We study results of 721 myomectomies performed at 2011-2014 in our department. In 502 cases (69,9%) laparoscopic access was performed
Result: Among 721 patients only 391 answer on questionnaire of the study. 61,9% of them – 242 patients were desire for the conception. The cumulative frequency of pregnancies was 50% (121 patients). Spontaneous pregnancy accounted for 75% of this number, 25% by IVF technologies. Rate of the thirst trimester miscarriages was 8,2%.3 cases of uterine rupture in this study were registrated.
Keywords: Laparoscopy myomectomy; Fibroids; Uterine rupture; Infertility; Pregnancy after myomectomy
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