Comparison of surgical and obstetric outcomes in women with uterine leiomyomas after laparoscopic vs. abdominal myomectomy : A single-center cohort study
Ordás, Polán (Hospital Universitario La Paz (Madrid))
Spagnolo, Emanuela (Hospital Universitario La Paz (Madrid))
Fernández, Lucía Gómez-Lavín (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Diestro Tejeda, María Dolores (Hospital Universitario La Paz (Madrid))
Lafuente, Pilar (Hospital Universitario La Paz (Madrid))
Salas, Patricia (Hospital Universitario La Paz (Madrid))
Lopez Carrasco, Ana (Hospital Universitario La Paz (Madrid))
Carbonell, María (Hospital Universitario La Paz (Madrid))
Hernández Gutierrez, Alicia (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)

Date:	2022
Abstract:	Our aim was to study the advantages, complications and obstetrical outcomes of laparoscopic myomectomy (LM) compared with abdominal myomectomy (AM). We conducted a retrospective cohort study at La Paz University Hospital that included LMs and AMs performed between 2012 and 2018, analyzing 254 myomectomies (142 AMs [55. 7%] and 112 LMs [43. 9%]). The mean number of fibroids was 1. 8 ± 1. 5 and 3 ± 2. 9 for the LM and AM groups, respectively (p < 0. 006). The mean size of the largest myoma was 7. 6 cm ± 2. 7 cm and 10. 2 cm ± 5. 4 cm for the LM and AM groups, respectively (p < 0. 001). LMs were associated with longer surgical times (p < 0. 001) and shorter hospitalizations (p = 0. 001). There were no significant differences in the intraoperative and postoperative complication rates (p = 0. 075 and p = 0. 285 for LM and AM, respectively). The subsequent pregnancy rate was higher for the LM group (30. 8% vs. 16. 8%, p = 0. 009), with a vaginal delivery rate of 69% and no cases of uterine rupture.
Grants:	Instituto de Salud Carlos III PI20/01368
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Laparoscopy ; Myomectomy ; Obstetric outcome ; Uterine leiomyoma ; Uterine rupture
Published in:	Frontiers in Surgery, Vol. 9 (december 2022) , ISSN 2296-875X

DOI: 10.3389/fsurg.2022.997078
PMID: 36636585

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
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Articles > Published articles