Laparoscopic Myomectomy in Infertile Women

Overview

Objective:
Evaluation of laparoscopic myomectomy in infertile patient.Design: Literary review.Setting: Institute for the Care of Mother and Child, Prague, Institute for Postgraduate MedicalEducation, Prague.Methods: Information and results of laparoscopic myomectomy in infertile patient were assessedand analysed.Results: Laparoscopic myomectomy in infertile patient is one of the most common surgical procedurs.There are several complications after this procedure – adhesion formation, bleeding anduterine rupture during following pregnancy. The incidence of adhesion formation after laparoscopicmyomectomy especially in case of intramural and deep subserosal fi broids of posterioruterine wall is high, almost in 60-90%. The uterine rupture following myomectomy representsonly 2% of all uterine ruptures in pregnancy.Conclusions: The laparoscopic approach in uterine fi broids treatment has been clearly established.The appropriate surgical management of uterine defect is mandatory. This approach is thebest prevention of postoperative complications – adhaesions and uterine rupture.

Key words:
laparoscopy, uterine fi broids, infertility, adhaesions, pregnancy, uterine rupture