Laparoscopic removal of a 1500-g symptomatic myoma during the second trimester of pregnancy

Pelosi, Marco A.; Giblin, Stephanie

doi:10.1016/s1074-3804(05)80070-2

Cited by 35 publications

(16 citation statements)

References 5 publications

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“…The size of the myoma itself could also represent another challenge. The largest myoma removed by laparoscopy weighed 1500 g [7]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic myomectomy of a subserous pedunculated fibroid at 14 weeks of pregnancy: a case report

Ardovino¹,

Castaldi³

et al. 2011

J Med Case Reports

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IntroductionUterine leiomyomas are seen in 1.6% to 4% of pregnancies. With the increasing age of obstetric patients, more cases are being encountered during pregnancy.Case presentationWe report the case of a 31-year-old Caucasian woman with acute recurrent abdominal pain due to a subserous fundic myoma, measuring 48 × 52 × 63 mm, with an implantation base of 22 × 18 mm, which was successfully treated by laparoscopy at 14 weeks of pregnancy. At a gestational age of week 40, the patient spontaneously delivered a healthy 3216 g girl baby.ConclusionAs far as we know, this is the first reported case of laparoscopic myomectomy this early during a pregnancy. Our experience together with an analysis of cases reported in the literature suggests that myomectomy during pregnancy may be considered safe, but only in the hands of experienced laparoscopic surgeons. There are a few reports in the literature about laparoscopic myomectomy during the first half of pregnancy that demonstrate its feasibility in selected cases. Some technical tools could improve the procedure with a minimum of risk for the ongoing pregnancy.

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“…The size of the myoma itself could also represent another challenge. The largest myoma removed by laparoscopy weighed 1500 g [7]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic myomectomy of a subserous pedunculated fibroid at 14 weeks of pregnancy: a case report

Ardovino¹,

Castaldi³

et al. 2011

J Med Case Reports

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“…Michalas et al [12] performed myomectomy on a 31-year-old primigravida, due to a large myoma of about 23 cm in diameter. Even, Pelosi et al [5] performed a successful myomectomy with laparoscopy in the second trimester of pregnancy to remove a 1,500-gram, symptomatic myoma that was refractory to conservative therapy. In 5 pregnant patients with myomas, myomectomy was successfully performed in this series.…”

Section: Discussionmentioning

confidence: 99%

“…Generally myomectomy is contraindicated during pregnancy [4]. But some investigators suggest that myomectomy during pregnancy may be performed successfully if necessary [3,5,6]. In some cases where conservative treatment cannot be practiced, it seems that the risk of spontaneous abortion during pregnancy is not significantly increased when myomectomy is performed [3].…”

Section: Introductionmentioning

confidence: 99%

Can Myomectomy Be Performed during Pregnancy?

Çelık

Acar

Cicek

et al. 2002

Gynecol Obstet Invest

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Objective: To evaluate the effectiveness, safety, complications and outcome of pregnancy after myomectomy performed during pregnancy. Material and Methods: Five pregnant women with myomas requiring operation because of severe abdominal pain were included in the series at the Department of Obstetrics and Gynecology, Selçuk University Faculty of Medicine between October 1, 1996 and February 24, 2001. The patients were controlled with ultrasonography and cardiotocography every month up to 32 gestational weeks and then every 2 weeks. Cesarean section was performed on all patients at 37–40 weeks. Complications and fetoneonatal outcome were recorded. Results: The mean age of the patients was 31.4 ± 3.5 years. The mean parity was 1.4 ± 1.6. The median gestational age at the time of myomectomy was 17.8 ± 3.4 weeks. The mean size of the myomas was 14.0 ± 3.8 cm. The main symptom of all patients was severe abdominal pain in spite of analgesic medication. The mean duration of the operation was 40.0 ± 7.9 min. The mean blood loss was 280.0 ± 83.6 ml. The mean number of myomas removed was 2.8 ± 1.3. Conclusion: Myomectomy during pregnancy can be performed if necessary.

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“…In 1991, Pelosi and Pelosi [77] reported total hysterectomy with bilateral salpingo-oophorectomy (BSO) using a single-puncture technique through the umbilicus. The same group subsequently used the same approach to perform a sling procedure for stress incontinence [78], interstitial ectopic pregnancy removal [79], and myomectomy during pregnancy [80]. Others have experimented with simple procedures such as single-port ovarian cystectomy.…”

Section: Gynecologymentioning

confidence: 99%