The aim of the present study was to analyze the effect of abdominal myomectomy on subsequent fertility. Medical records of 78 women having undergone myomectomy between 1980 and 2000 were retrospectively analyzed. A questionnaire was e-mailed to all women. The overall pregnancy rate in 66 patients that attempted pregnancy following myomectomy was 59.1%. The pre-myomectomy abortion rate of 35.4% ...

At the University of Benin Teaching Hospital, Benin City, Nigeria, after our first publication titled “Inevitable Caesarean Myomectomy”1, we have since 1996 routinely carried out myomectomy during caesarean section. The result of our first 25 cases was published in 2001.2 We have since then carried out more than 70 procedures of caesarean myomectomy. Our investigations on comparative blood loss...

BACKGROUND Plastic and reconstructive uterus operations are performed in congenital uterine anomalies or benign uterine conditions. Congenital uterine anomalies are relatively rare diseases with various approaches for surgical treatment. Therefore, to address the question of the usefulness of a minimally invasive approach in plastic uterus operations, the most common uterine condition which req...

The purpose of this article is to present a case of laparoscopic myomectomy (LM) that led to the identification of a new minimally invasive technique [laparoscopic-assisted vaginal myomectomy (LAVM)] for removing multiple transmural uterine myomas and facilitating uterine suturing. In addition, we reviewed the literature to (1) describe the history leading up to LAVM, (2) relate the benefits of...

We describe two cases of uterine rupture in pregnancy after laparoscopic myomectomy and analyze all the aetiological factors involved in this circumstance according to the recent literature, focusing above all on the surgical procedures and the characteristics of the excised myomas. The two cases of uterine rupture in pregnancy following laparoscopic myomectomy occurred at 36 and 18 weeks of ge...

OBJECTIVE To evaluate the safety of cesarean myomectomy in large myomas sized >5 cm. METHODS One hundred sixty-five pregnant women with myomas who delivered via cesarean section were identified. Ninety-six women had cesarean section without myomectomy, and 65 women underwent cesarean myomectomy. We compared the maternal characteristics, neonatal weight, myoma types, and operative outcomes bet...

To investigate the effectiveness of laparoscopic uterine artery occlusion combined with myomectomy for uterine fibroids. From August 2008 to August 2009, forty-eight women with uterine fibroids desiring to preserve their uteri underwent laparoscopic myomectomy. Among them, 18 women received laparoscopic uterine artery occlusion before uterine myomectomy while the others received laparoscopic my...

I read with great interest Herbert A. Goldfarb and Nicole J. Fanarijan’s article (Laparoscopic-assisted vaginal myomectomy: a case report and literature review. JSLS. 2001;5:81-85). The aim of this article was to present a new minimally invasive technique, laparoscopic-assisted vaginal myomectomy (LAVM), used for removing multiple transmural uterine myomas and faciliting uterine suturing. First...

Objective: The aim of this study was to assess fertility outcome after abdominal myomectomy and to examine the influence of the number, size, and location of uterine fibroids pertaining to fertility outcome after the surgery. Study design: Retrospective clinical study. Patients and methods: Fertility outcome from 178 women who had abdominal myomectomy during 2000-2004 were analyzed. Data from w...

This study was conducted at Korle Bu Teaching Hospital and Family Health Hospital, Accra, Ghana, between April 2000 and January 2001 to compare the efficacy and safety of myomectomy done at caesarean section with the application of a tourniquet with caesarean section without myomectomy. Twenty four patients were recruited into the study. Average haemoglobin of patients both pre and post-operati...