Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas

Arch Gynecol Obstet. 2012 Nov;286(5):1209-14. doi: 10.1007/s00404-012-2441-0. Epub 2012 Jul 3.

Abstract

Purpose: Laparoscopic myomectomy during pregnancy is indicated when symptoms related to uterine myomas persist despite pharmacologic therapy; however, currently there is very little information concerning its safety.

Methods: We report three cases of antepartum laparoscopic myomectomy performed to manage complicated myomas requiring surgical intervention.

Results: In particular, we report for the first time in literature the laparoscopic removal of two myomas in a patient during a single surgery performed in the 19th week of pregnancy followed by additional multiple myomectomy at the time of the cesarean section. All surgeries were without complication.

Conclusions: Our experience suggests that laparoscopic myomectomy may be performed safely during pregnancy; even more studies are needed to establish the exact rate of adverse events.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cesarean Section
  • Female
  • Humans
  • Laparoscopy
  • Leiomyoma / pathology
  • Leiomyoma / surgery
  • Leiomyoma / ultrastructure
  • Leiomyomatosis / diagnostic imaging
  • Leiomyomatosis / pathology
  • Leiomyomatosis / surgery*
  • Pregnancy
  • Pregnancy Complications, Neoplastic / surgery*
  • Ultrasonography
  • Uterine Myomectomy*
  • Uterine Neoplasms / diagnostic imaging
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*
  • Young Adult