In selected group of patients, LAM as minimally invasive approach is an attractive alternative to conventional laparotomic myomectomy, offering significant advantages.

Based on our study, advanced maternal age at twin gestation does not seem to affect significantly pregnancy complications and perinatal outcomes. VLBW was the only unfavorable perinatal outcome related to advanced maternal age.

No abstract

In the setting of minimally invasive myomectomy, the use of a multimodal analgesic protocol improved postoperative recovery, resulting in earlier hospital discharge.

A 29-year-old woman affected by pseudoxanthoma elasticum gave birth to her second child in our department, thirteen months after the delivery of her first boy. Her care illustrates many of the potential risks of this rare autosomal systemic disorder. In order to detect any changes due to pregnancy, ophthalmologic and cardiologic screening examinations should be performed in the beginning of the pregnancy and repeated several weeks after the delivery. During labor, epidural anesthesia seems to be more advantageous.