The laparoscopic approach to myomectomy has raised questions about the risk of uterine rupture in patients who become pregnant following surgery. It has been suggested that the rupture outside labor in pregnancies following laparoscopic myomectomy can be due to the difficulty of suturing or to the presence of a hematoma or to the wide use of radiofrequencies.
Aim
To assess the outcome of pregnancy following laparoscopic myomectomy.
Methods
A literature search performed using engine Google, High wire press, Springer link, and Yahoo. Selected papers screened for other related reports.
Results
There were no incidents of uterine scar rupture in any of these studies.
Conclusions
Uterine rupture during pregnancies following laparoscopic myomectomy is rare. This review article did not confirm the hypothesis that laparoscopic myomectomy is associated with an increased risk for uterine dehiscence during pregnancy.
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