Microsurgical laser technique for abdominal myomectomy

Abstract

This study was designed to evaluate the applicability of a hand-held CO2 laser combined with microsurgical principles to the abdominal myomectomy in women with menorrhagia and infertility. Seventeen patients with submucous and intracavitary myomata diagnosed by hysterosalpingography were included in this study. The myomectomy technique described was rapid, allowed for excellent intraoperative hemostasis, and resulted in a short, uneventful postoperative hospital stay. In all patients, menstrual pattern returned to normal. Seven out of ten patients who attempted pregnancy succeeded.

Role of a bipolar resectoscope in subfertile women with submucous myomas and menstrual disorders

“…Little data are available about fertility after myomectomy for submucous fibroids. Garcia and Tureck, 21 and Reyniak and Corenthal 22 reported their results on abdominal myomectomies for submucous myomas. Altogether, among 25 patients without apparent cause of infertility other than uterine fibroids, a pregnancy rate of 60% was found.…”

Impact sur la fertilité des traitements conservateurs d’un utérus fibromateux : traitements chirurgicaux et non chirurgicaux

“…Ces études sont peu nombreuses et comportent un petit nombre de patientes [4,5]. La résec-tion hystéroscopique offre une morbidité moindre avec une hospitalisation courte et un coût inférieur.…”

Myomectomy and Pregnancies

“…The pregnancy rate following myomectomy ranges between 55% and 76.9% [17][18][19][20][21]. These studies are limited owing to few cases, variable follow-up and additional factors [22].…”

“…The association between infertility and either intramural or subserous myoma without the abnormality of the uterine cavity is still controversial on the contrary, [2,3,10,22] submucous myomas, that range between 5 and 8% of patients are considered responsible factors interfering with pregnancy [19][20][21]23]. The main symptoms correlating with pregnancy are as follows: bleeding, pelvic pain, abortion, abnormal presentation, postpartum haemorrhage, puerperal infection [2,23].…”