Journal of Gynecological Endoscopy and Surgery
Journal of Gynecological Endoscopy and Surgery Home | About us | Editorial Board | Ahead of print | Current issue | Back issues | Search | Instructions | Subscribe | Login 
Users online: 329 Wide layout Narrow layout Full screen layout Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2011  |  Volume : 2  |  Issue : 1  |  Page : 36-42

Fibroids, infertility and laparoscopic myomectomy


Department of Obgyn, Medical College and S.S.G. Hospital, Baroda, India

Correspondence Address:
Pankaj Desai
Chief of Unit in Obgyn (VRS), Medical College and S.S. G. Hospital, Baroda
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.85280

Rights and Permissions

Objective: To review the literature and summarize the available evidence about the relationship of fibroids with infertility and to review the role of laparoscopic myomectomy in infertility. Materials and Methods: Medline, PubMed, and Cochrane Databases were searched for articles published between 1980 and 2010. Results: Fertility outcomes are decreased in women with submucosal fibroids, and myomectomy is of value. Subserosal fibroids do not affect fertility outcomes, and removal may not confer benefit. Intramural fibroids appear to decrease fertility, but the results of therapy are unclear. Although pregnancy rates for women with leiomyomata, managed endoscopically, are similar to those after laparotomy, there is a risk of uterine rupture. The risk is essentially unknown. Finally, the risk of recurrence seems higher after laparoscopic myomectomy compared to laparotomy. Conclusions: Laparoscopic myomectomy, when performed by an experienced surgeon, can be considered a safe technique, with an extremely low failure rate and good results in terms of the outcome of pregnancy.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed5293    
    Printed333    
    Emailed9    
    PDF Downloaded376    
    Comments [Add]    
    Cited by others 3    

Recommend this journal