!Introduction: Besides the typical complaints and symptoms, myomas can cause sterility, infertility and complications during pregnancy. Laparoscopic interventions reach their limits with regard to organ preservation and the simultaneous desire to have children in the removal of multiple and larger intramural myoma nodes. The aim of this study is to examine fertility status and pregnancy outcome after myoma removal by minilaparotomy (skin incision maximal 8 cm) in women with pronounced uterus myomatosus. Materials and Methods: This retrospective study makes use of the data from 160 patients with an average age of 34.6 years. Factors analysed include number, size and localisation of the myomas, complaints due to the myoma, pre-and postoperative gravidity, mode of delivery, and complications of birth. Results: Indications for organ-sparing myoma enucleation were the desire to have children (72.5 %), bleeding disorders (60 %) and pressure discomfort (36.5%). On average 4.95 (SD ± 0.41), maximally 46 myomas were removed. The largest myoma had a diameter of 6.64 cm (SD ± 2.74). 82.5 % of the patients had transmural myomas, in
ErratumIn der Publikation "Fertility and Pregnancy Outcome after Myoma Enucleation by Minilaparotomy under Microsurgical Conditions in Pronounced Uterus Myomatosus" von K. Floss et al. (Geburtsh Frauenheilk 2015; 75: 56-63) ist leider ein Übersetzungsfehler unterlaufen.Auf Seite 60 im 1. Absatz unter der Überschrift "Postoperative complications of pregnancy and birth" steht: "In one patient a prepartal, silent uterine rupture occurred in the 4th week of pregnancy after enucleation of 5 myomas (max. size 6 cm without opening of the cavity) with one Caesarean section in the prior case history (1st postoperative pregnancy) and two subsequent miscarriages. In this case the uterine rupture occurred in the 4th week of pregnancy in the region of the old Caesarean scar but was first noticed in the primary Caesarean section in the 39th week.Es muss aber wie folgt heißen: "In one patient a prepartal, silent uterine rupture occurred in the 4th pregnancy after enucleation of 5 myomas (max. size 6 cm without opening of the cavity) with one Caesarean section in the prior case history (1st postoperative pregnancy) and two subsequent miscarriages. In this case the uterine rupture occurred in the 4th pregnancy in the region of the old Caesarean scar but was first noticed in the primary Caesarean section in the 39th week."
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