Comparison of surgical and obstetric outcomes in women with uterine leiomyomas after laparoscopic vs. abdominal myomectomy: A single-center cohort study

• Published in: Frontiers in surgery Vol. 9; p. 997078
• Main Authors: Ordás, Polán, Spagnolo, Emanuela, Fernández, Lucía Gómez-Lavín, Diestro Tejeda, María Dolores, Lafuente, Pilar, Salas, Patricia, Lopez Carrasco, Ana, Carbonell, María, Hernández, Alicia
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 26.12.2022
• Subjects: laparoscopy; myomectomy; obstetric outcome; Surgery; uterine leiomyoma; uterine rupture; laparoscopy; myomectomy; obstetric outcome; uterine leiomyoma; uterine rupture
• ISSN: 2296-875X; 2296-875X
• DOI: 10.3389/fsurg.2022.997078

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 (  < 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 (  < 0.001). LMs were associated with longer surgical times (  < 0.001) and shorter hospitalizations (  = 0.001). There were no significant differences in the intraoperative and postoperative complication rates (  = 0.075 and  = 0.285 for LM and AM, respectively). The subsequent pregnancy rate was higher for the LM group (30.8% vs. 16.8%,  = 0.009), with a vaginal delivery rate of 69% and no cases of uterine rupture.