World Journal of Laparoscopic Surgery

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VOLUME 8 , ISSUE 3 ( September-December, 2015 ) > List of Articles

REVIEW ARTICLE

Pregnancy Outcomes following Robot-assisted Laparoscopic Myomectomy

Meghana Jetty

Citation Information : Jetty M. Pregnancy Outcomes following Robot-assisted Laparoscopic Myomectomy. World J Lap Surg 2015; 8 (3):85-89.

DOI: 10.5005/jp-journals-10033-1254

Published Online: 01-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Review study question

What are the characteristics of the pregnancy outcomes in women undergoing robot-assisted laparoscopic myomectomy (RALM) for symptomatic leiomyomata uteri?

Summary answer

Despite a high prevalence of women with advanced maternal age, obesity and multiple pregnancy, the outcomes are comparable with those reported in the literature for laparoscopic myomectomy.

Study design

Review study.

Participants/material, setting, methods

An extensive search for articles related to the topic and review the studies.

Main results

The mean time to conception was 12 to 18 months. Assisted reproduction techniques were employed in 22 to 24% of these women. Spontaneous abortions occurred in 18 to 20%. Preterm delivery prior to 35 weeks of gestational age occurred in 17%. One uterine rupture was documented in all studies together. Pelvic adhesions were discovered in 11 to 16% of patients delivered by cesarean section. Higher preterm delivery rates were significantly associated with a greater number of myomas removed and anterior location of the largest incision. None of the myoma characteristics were related to spontaneous abortion.

How to cite this article

Jetty M. Pregnancy Outcomes following Robot-assisted Laparoscopic Myomectomy. World J Lap Surg 2015;8(3):85-89.


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