Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy
To assess the risks and outcome of pregnancies and deliveries after laparoscopic myomectomy (LM). Retrospective study. Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. A total of 514 patients of fertile age t...
Gespeichert in:
| Veröffentlicht in: | Fertility and sterility 2006-07, Vol.86 (1), p.159-165 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 165 |
|---|---|
| container_issue | 1 |
| container_start_page | 159 |
| container_title | Fertility and sterility |
| container_volume | 86 |
| creator | Seracchioli, Renato Manuzzi, Linda Vianello, Federico Gualerzi, Beatrice Savelli, Luca Paradisi, Roberto Venturoli, Stefano |
| description | To assess the risks and outcome of pregnancies and deliveries after laparoscopic myomectomy (LM).
Retrospective study.
Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
A total of 514 patients of fertile age that underwent LM at the Center were selected.
All the surgical procedures were performed using the same technique employing a vertical uterine incision and avoiding the use of electrosurgery.
Number and outcome of pregnancies achieved after surgery, abortion rate, preterm delivery, gestational age, malpresentation, spontaneous or cesarean delivery, and postpartum hemorrhage. We also paid particular attention to the occurrence of uterine rupture.
A total of 158 pregnancies were achieved. There were 43 (27.2%) spontaneous abortions, 4 (2.6%) ectopic pregnancies, and 1 (0.6%) therapeutic abortion. Only 27 patients (25.5%) had vaginal deliveries, whereas 79 (74.5%) underwent cesarean section. No instances of uterine rupture were recorded.
Our preliminary results confirmed that LM, performed by an expert surgeon, can restore reproductive capacity, allowing patients to have a successful pregnancy. |
| doi_str_mv | 10.1016/j.fertnstert.2005.11.075 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68608935</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0015028206005486</els_id><sourcerecordid>68608935</sourcerecordid><originalsourceid>FETCH-LOGICAL-c468t-e2d554b0b820f6010ef45ec7ac299ee3a43368793032764e57198839f87b98993</originalsourceid><addsrcrecordid>eNqFkE2P0zAQhi0EYsvCX0C-wC1hHMdfR1jxJa20l-VsOc4YXCVxsNNK_fe4aqUeucxcnnfm1UMIZdAyYPLTvg2Yt6VsdbYdgGgZa0GJF2THhJCNkIK_JDsAJhrodHdH3pSyBwDJVPea3DGpZK-V3JHnp6Fe2XL01C0jHXGKR8wnmg6bTzPSFOia8ffiFh-xUOf_RDziSF2ov-nkVpdT8Wmt-flUA35L8-kteRXcVPDddd-TX9--Pj_8aB6fvv98-PzY-F7qrcFuFKIfYNAdBAkMMPQCvXK-MwaRu55zqZXhwLvaF4ViRmtuglaD0cbwe_LxcnfN6e8By2bnWDxOk1swHYqVWoI2XFRQX0Bf25aMwa45zi6fLAN7Nmr39mbUno1axmw1WqPvrz8Ow4zjLXhVWIEPV8AV76aQz6rKjVOm16I_c18uHFYjx4jZlqp08TjGXLXZMcX_t_kHCTuadA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68608935</pqid></control><display><type>article</type><title>Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Seracchioli, Renato ; Manuzzi, Linda ; Vianello, Federico ; Gualerzi, Beatrice ; Savelli, Luca ; Paradisi, Roberto ; Venturoli, Stefano</creator><creatorcontrib>Seracchioli, Renato ; Manuzzi, Linda ; Vianello, Federico ; Gualerzi, Beatrice ; Savelli, Luca ; Paradisi, Roberto ; Venturoli, Stefano</creatorcontrib><description>To assess the risks and outcome of pregnancies and deliveries after laparoscopic myomectomy (LM).
Retrospective study.
Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
A total of 514 patients of fertile age that underwent LM at the Center were selected.
All the surgical procedures were performed using the same technique employing a vertical uterine incision and avoiding the use of electrosurgery.
Number and outcome of pregnancies achieved after surgery, abortion rate, preterm delivery, gestational age, malpresentation, spontaneous or cesarean delivery, and postpartum hemorrhage. We also paid particular attention to the occurrence of uterine rupture.
A total of 158 pregnancies were achieved. There were 43 (27.2%) spontaneous abortions, 4 (2.6%) ectopic pregnancies, and 1 (0.6%) therapeutic abortion. Only 27 patients (25.5%) had vaginal deliveries, whereas 79 (74.5%) underwent cesarean section. No instances of uterine rupture were recorded.
Our preliminary results confirmed that LM, performed by an expert surgeon, can restore reproductive capacity, allowing patients to have a successful pregnancy.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2005.11.075</identifier><identifier>PMID: 16764876</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Delivery, Obstetric - statistics & numerical data ; Delivery. Postpartum. Lactation ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Incidence ; Italy - epidemiology ; Laparoscopic myomectomy ; Leiomyoma - epidemiology ; Leiomyoma - surgery ; Medical sciences ; Postoperative Complications - epidemiology ; Pregnancy ; Pregnancy Complications - epidemiology ; pregnancy outcome ; Pregnancy Outcome - epidemiology ; Risk Assessment - methods ; Risk Factors ; Treatment Outcome ; Uterine Neoplasms - epidemiology ; Uterine Neoplasms - surgery ; uterine rupture</subject><ispartof>Fertility and sterility, 2006-07, Vol.86 (1), p.159-165</ispartof><rights>2006 American Society for Reproductive Medicine</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-e2d554b0b820f6010ef45ec7ac299ee3a43368793032764e57198839f87b98993</citedby><cites>FETCH-LOGICAL-c468t-e2d554b0b820f6010ef45ec7ac299ee3a43368793032764e57198839f87b98993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fertnstert.2005.11.075$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17948546$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16764876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seracchioli, Renato</creatorcontrib><creatorcontrib>Manuzzi, Linda</creatorcontrib><creatorcontrib>Vianello, Federico</creatorcontrib><creatorcontrib>Gualerzi, Beatrice</creatorcontrib><creatorcontrib>Savelli, Luca</creatorcontrib><creatorcontrib>Paradisi, Roberto</creatorcontrib><creatorcontrib>Venturoli, Stefano</creatorcontrib><title>Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>To assess the risks and outcome of pregnancies and deliveries after laparoscopic myomectomy (LM).
Retrospective study.
Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
A total of 514 patients of fertile age that underwent LM at the Center were selected.
All the surgical procedures were performed using the same technique employing a vertical uterine incision and avoiding the use of electrosurgery.
Number and outcome of pregnancies achieved after surgery, abortion rate, preterm delivery, gestational age, malpresentation, spontaneous or cesarean delivery, and postpartum hemorrhage. We also paid particular attention to the occurrence of uterine rupture.
A total of 158 pregnancies were achieved. There were 43 (27.2%) spontaneous abortions, 4 (2.6%) ectopic pregnancies, and 1 (0.6%) therapeutic abortion. Only 27 patients (25.5%) had vaginal deliveries, whereas 79 (74.5%) underwent cesarean section. No instances of uterine rupture were recorded.
Our preliminary results confirmed that LM, performed by an expert surgeon, can restore reproductive capacity, allowing patients to have a successful pregnancy.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Delivery, Obstetric - statistics & numerical data</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Italy - epidemiology</subject><subject>Laparoscopic myomectomy</subject><subject>Leiomyoma - epidemiology</subject><subject>Leiomyoma - surgery</subject><subject>Medical sciences</subject><subject>Postoperative Complications - epidemiology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>pregnancy outcome</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><subject>Uterine Neoplasms - epidemiology</subject><subject>Uterine Neoplasms - surgery</subject><subject>uterine rupture</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE2P0zAQhi0EYsvCX0C-wC1hHMdfR1jxJa20l-VsOc4YXCVxsNNK_fe4aqUeucxcnnfm1UMIZdAyYPLTvg2Yt6VsdbYdgGgZa0GJF2THhJCNkIK_JDsAJhrodHdH3pSyBwDJVPea3DGpZK-V3JHnp6Fe2XL01C0jHXGKR8wnmg6bTzPSFOia8ffiFh-xUOf_RDziSF2ov-nkVpdT8Wmt-flUA35L8-kteRXcVPDddd-TX9--Pj_8aB6fvv98-PzY-F7qrcFuFKIfYNAdBAkMMPQCvXK-MwaRu55zqZXhwLvaF4ViRmtuglaD0cbwe_LxcnfN6e8By2bnWDxOk1swHYqVWoI2XFRQX0Bf25aMwa45zi6fLAN7Nmr39mbUno1axmw1WqPvrz8Ow4zjLXhVWIEPV8AV76aQz6rKjVOm16I_c18uHFYjx4jZlqp08TjGXLXZMcX_t_kHCTuadA</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>Seracchioli, Renato</creator><creator>Manuzzi, Linda</creator><creator>Vianello, Federico</creator><creator>Gualerzi, Beatrice</creator><creator>Savelli, Luca</creator><creator>Paradisi, Roberto</creator><creator>Venturoli, Stefano</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy</title><author>Seracchioli, Renato ; Manuzzi, Linda ; Vianello, Federico ; Gualerzi, Beatrice ; Savelli, Luca ; Paradisi, Roberto ; Venturoli, Stefano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-e2d554b0b820f6010ef45ec7ac299ee3a43368793032764e57198839f87b98993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Delivery, Obstetric - statistics & numerical data</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Italy - epidemiology</topic><topic>Laparoscopic myomectomy</topic><topic>Leiomyoma - epidemiology</topic><topic>Leiomyoma - surgery</topic><topic>Medical sciences</topic><topic>Postoperative Complications - epidemiology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>pregnancy outcome</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><topic>Uterine Neoplasms - epidemiology</topic><topic>Uterine Neoplasms - surgery</topic><topic>uterine rupture</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seracchioli, Renato</creatorcontrib><creatorcontrib>Manuzzi, Linda</creatorcontrib><creatorcontrib>Vianello, Federico</creatorcontrib><creatorcontrib>Gualerzi, Beatrice</creatorcontrib><creatorcontrib>Savelli, Luca</creatorcontrib><creatorcontrib>Paradisi, Roberto</creatorcontrib><creatorcontrib>Venturoli, Stefano</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seracchioli, Renato</au><au>Manuzzi, Linda</au><au>Vianello, Federico</au><au>Gualerzi, Beatrice</au><au>Savelli, Luca</au><au>Paradisi, Roberto</au><au>Venturoli, Stefano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>86</volume><issue>1</issue><spage>159</spage><epage>165</epage><pages>159-165</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>To assess the risks and outcome of pregnancies and deliveries after laparoscopic myomectomy (LM).
Retrospective study.
Center of Reconstructive Pelvic Endosurgery, Reproductive Medicine Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
A total of 514 patients of fertile age that underwent LM at the Center were selected.
All the surgical procedures were performed using the same technique employing a vertical uterine incision and avoiding the use of electrosurgery.
Number and outcome of pregnancies achieved after surgery, abortion rate, preterm delivery, gestational age, malpresentation, spontaneous or cesarean delivery, and postpartum hemorrhage. We also paid particular attention to the occurrence of uterine rupture.
A total of 158 pregnancies were achieved. There were 43 (27.2%) spontaneous abortions, 4 (2.6%) ectopic pregnancies, and 1 (0.6%) therapeutic abortion. Only 27 patients (25.5%) had vaginal deliveries, whereas 79 (74.5%) underwent cesarean section. No instances of uterine rupture were recorded.
Our preliminary results confirmed that LM, performed by an expert surgeon, can restore reproductive capacity, allowing patients to have a successful pregnancy.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16764876</pmid><doi>10.1016/j.fertnstert.2005.11.075</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0015-0282 |
| ispartof | Fertility and sterility, 2006-07, Vol.86 (1), p.159-165 |
| issn | 0015-0282 1556-5653 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68608935 |
| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Delivery, Obstetric - statistics & numerical data Delivery. Postpartum. Lactation Female Gynecology. Andrology. Obstetrics Humans Incidence Italy - epidemiology Laparoscopic myomectomy Leiomyoma - epidemiology Leiomyoma - surgery Medical sciences Postoperative Complications - epidemiology Pregnancy Pregnancy Complications - epidemiology pregnancy outcome Pregnancy Outcome - epidemiology Risk Assessment - methods Risk Factors Treatment Outcome Uterine Neoplasms - epidemiology Uterine Neoplasms - surgery uterine rupture |
| title | Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T18%3A43%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Obstetric%20and%20delivery%20outcome%20of%20pregnancies%20achieved%20after%20laparoscopic%20myomectomy&rft.jtitle=Fertility%20and%20sterility&rft.au=Seracchioli,%20Renato&rft.date=2006-07-01&rft.volume=86&rft.issue=1&rft.spage=159&rft.epage=165&rft.pages=159-165&rft.issn=0015-0282&rft.eissn=1556-5653&rft.coden=FESTAS&rft_id=info:doi/10.1016/j.fertnstert.2005.11.075&rft_dat=%3Cproquest_cross%3E68608935%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=68608935&rft_id=info:pmid/16764876&rft_els_id=S0015028206005486&rfr_iscdi=true |