Pregnancy outcomes and deliveries after laparoscopic myomectomy

Study Objective. To assess pregnancy outcomes and deliveries after laparoscopic myomectomy. Design. Retrospective study (Canadian Task Force classification II-2). Setting. General hospital. Patients. Three hundred fifty-nine women. Interventions. Laparoscopic myomectomy and laparoscopic and/or hysteroscopic treatment of associated pathologies. Measurements and Main Results. Five patients (1.39%) were lost to follow-up. Seventy-two women were pregnant at least once after laparoscopic myomectomy, for a total of 76 pregnancies. Four women conceived twice and four are pregnant as of this writing. One multiple pregnancy occurred. Twelve pregnancies resulted in first-trimester miscarriage, one in an ectopic pregnancy, one in a blighted ovum, and one in a hydatiform mole. One patient underwent elective first-trimester termination of pregnancy. Thirty-one women had vaginal delivery at term and 26 were delivered by cesarean section. No case of uterine rupture or dehiscence occurred. Conclusion. Our technique of laparoscopic myomectomy appears to allow safe vaginal delivery.