Rupture rates after laparoscopic myomectomy using single stitches in only one layer. A. Kavallaris, C. Panayotidis, N. Chalvatzas, C. Banz and K. Diedrich, et al. Gynecological Surgery, Online First™, 20 April 2010.

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Rupture rates after laparoscopic myomectomy using single stitches in only one layer. A. Kavallaris, C. Panayotidis, N. Chalvatzas, C. Banz and K. Diedrich, et al. Gynecological Surgery, Online First™, 20 April 2010.

Abstract
Myomectomy is a common laparoscopic procedure and is often used in
patients with infertility, bleeding disorders and other symptoms
caused by leiomyomas. We present a case series report based on a
retrospective audit conducted from January 2001 up to December 2006
in our department. From 451 patients laparoscopically operated for
leiomyomas, we identified only 59 patients operated due to
infertility reasons. We report the post-operative rates of
pregnancy and mode of delivery after a median follow-up of 40
months post-operatively. Laparoscopic technique and obstetrical
outcome is discussed with recent literature review. The average
number of removed fibroids was 2. The mean weight of the leiomyomas
was 94.3 g. The cavum uteri was opened in eight patients. Overall,
42 out of 59 women delivered 51 live newborn babies, yielding a
post-operative success rate of 71%. The miscarriage rate
post-operatively was 8 out of 60 pregnancies (13%). In patients
with leiomyomas identified as infertility cofactor, laparoscopic
management is a convincing therapeutic approach. In our experience,
conception rate was 71%, and complications during pregnancy were
limited to 4% of the patients. Risk of uterine rupture during
labour was present in 4% of the cases, implying that mode of
delivery should always be discussed with the patient.

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