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Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas |
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| Authors: | Antonio Macciò Clelia Madeddu Paraskevas Kotsonis Antonio Caffiero Angelo Desogus Michele Pietrangeli Anna Maria Paoletti |
| Affiliation: | 1. Department of Obstetrics and Gynecology, Sirai Hospital, 09013, Carbonia, Italy 2. Department of Medical Oncology, University of Cagliari, Cagliari, Italy 3. Department of Anesthesiology, Sirai Hospital, Carbonia, Italy 4. Department of General Surgery, ASL 8, Cagliari, Italy 5. Department of Obstetrics and Gynecology, University of Cagliari, Cagliari, Italy |
| Abstract: | PurposeLaparoscopic myomectomy during pregnancy is indicated when symptoms related to uterine myomas persist despite pharmacologic therapy; however, currently there is very little information concerning its safety.MethodsWe report three cases of antepartum laparoscopic myomectomy performed to manage complicated myomas requiring surgical intervention.ResultsIn particular, we report for the first time in literature the laparoscopic removal of two myomas in a patient during a single surgery performed in the 19th week of pregnancy followed by additional multiple myomectomy at the time of the cesarean section. All surgeries were without complication.ConclusionsOur experience suggests that laparoscopic myomectomy may be performed safely during pregnancy; even more studies are needed to establish the exact rate of adverse events. |
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