Evaluation of factors contributing to uterine scar formation after laparoscopic myomectomy

Kumakiri, Jun; Kikuchi, Iwaho; Kitade, Mari; Kumakiri, Yuko; Kuroda, Keiji; Matsuoka, Satoshi; Tokita, Sachiko; Takeda, Satoru

doi:10.3109/00016349.2010.498498

Cited by 10 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, five who had not been administered with a gonadotropin-releasing hormone agonist before laparoscopic myomectomy were excluded, and 35 who underwent concomitant surgery (such as ovarian cystectomy, lysis for pelvic adhesions from endometriosis, laparotomy before initial laparoscopic myomectomy) were excluded. Finally, 108 patients were included, and some of them had participated in our previous study that investigated the results of SLL (11).…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Association between uterine repair at laparoscopic myomectomy and postoperative adhesions

Kumakiri

Kikuchi

Kitade

et al. 2012

Acta Obstet Gynecol Scand

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

“…All second-look laparoscopies were performed by a single surgeon (I.K.). Second-look laparoscopy proceeded as described (3,11), using a 3 mm microlaparoscope under general anesthesia. An 8 French Foley catheter was inserted into the endometrial cavity.…”

Section: Methodsmentioning

confidence: 99%

Association between uterine repair at laparoscopic myomectomy and postoperative adhesions

Kumakiri

Kikuchi

Kitade

et al. 2012

Acta Obstet Gynecol Scand

Self Cite

View full text Add to dashboard Cite

show abstract

“…The degree of myometrial penetration during myomectomy has been correlated with scar formation but not with uterine rupture during pregnancy ( 63 ). Multiple-layer suturing of the uterine fibroid bed has been associated with better reproductive outcomes ( 64 ).…”

Section: Impact Of Sutures Type On Fertility and Pregnancy Outcomesmentioning

confidence: 99%

Laparoscopic myomectomy – The importance of surgical techniques

Dumitrașcu

Nenciu

et al. 2023

Front. Med.

View full text Add to dashboard Cite

Laparoscopy is a routine procedure for benign gynecological tumors. Although the laparoscopic approach for myomas is a common procedure, it can be challenging. To improve outcomes, research regarding port access, suture type, morcellation, and complication management remains ongoing. Myomectomy is the main surgical option for patients seeking uterus-sparing procedures to maintain future fertility. The laparoscopic technique is the most important in these cases, given that possible complications can impact fertility and pregnancy outcomes. Herein, we reviewed and collated the available data regarding different suture techniques, including advantages, difficulties, and possible long-term impacts.

show abstract

“…Subserosal patients were also found to be associated to this relationship to be the least. They did not observe a difference between the sutured layer count and the scar‐free group 22 …”

Section: Discussionmentioning

confidence: 92%

“…They did not observe a difference between the sutured layer count and the scar-free group. 22 Controversy continues regarding the role of correct suture technique in reducing the risk of uterine rupture. The primary purpose of a correct suture technique is to provide haemostasis and correct anatomical placement of the tissue.…”

Section: Con Clus Ionmentioning

confidence: 99%

Pregnancy outcomes of patients undergoing single‐layer sutured laparoscopic myomectomy

et al. 2021

View full text Add to dashboard Cite

Uterine myomas are common benign tumours caused by smooth muscle cells of the uterus. 1 The treatment of myomas includes medical, surgical and radiological interventions. Each treatment has its pros and cons. Treatment choice is affected by the patient's child expectation, accompanying diseases, myoma localisation and previous treatment modality. 2,3 Abdominal, vaginal, laparoscopic and robotic methods are used in surgical treatment. Because of the short recovery time, less blood loss and less postoperative pain, a shift from laparotomy to minimally invasive surgery is observed over the years. 4 Laparoscopic myomectomy (LM) is a minimally invasive surgery.However, there is a lack of data on good evidence of long-term fertility and pregnancy outcomes. One of the most important concerns about laparoscopic myomectomy is the theoretically increased risk of uterine rupture during pregnancy. Even though uterine rupture is a rare obstetric incident, its consequences can be lifethreatening for both the mother and fetus. Although there are no studies supporting multilayer closure against single-layer closure of the myometrium during LM, the overall tendency is in favour of multilayer suturing. Because there are no prospective randomised studies comparing single and double closure, there is no clear evidence and consensus in the literature on this subject. 5,6 In this study, we aimed to investigate the pregnancy outcomes of 102 patients who underwent LM and those who underwent singlelayer suturing.

show abstract

Evaluation of factors contributing to uterine scar formation after laparoscopic myomectomy

Abstract: Uterine scar formation after LM correlated with the degree of myometrial penetration. However, the presence of a uterine scar did not appear to influence the delivery outcome.

Cited by 10 publications

References 22 publications

Association between uterine repair at laparoscopic myomectomy and postoperative adhesions

Association between uterine repair at laparoscopic myomectomy and postoperative adhesions

Laparoscopic myomectomy – The importance of surgical techniques

Pregnancy outcomes of patients undergoing single‐layer sutured laparoscopic myomectomy

Contact Info

Product

Resources

About