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Objective: Myomectomy is the most popular treatment option for women who have symptomatic myoma nodules and desire to preserve their child-bearing potential. Laparoscopic myomectomy (LM) has been increasingly performed owing to the advances in laparoscopic techniques and instruments. Whether the risk of uterine rupture is greater in LM than in abdominal myomectomy (AM) is yet to be clarified. This study was conducted to evaluate the vascularity of myometrial closure by using magnetic resonance imaging (MRI) and follow the healing process after myomectomy. Methods: Between June 2013 and July 2014, 4 patients underwent AM and 28 women underwent LM. In all the AM cases (AM group), single interrupted or figure-8 sutures were used. On the other hand, continuous sutures were used in 12 LM cases (group LMa); and single interrupted sutures, in 16 (group LMb). After surgery, contrast-enhanced MRI was performed after obtaining informed consent from the patients. We evaluated the ratio of avascular-to-cross-sectional area

Contrast-enhanced magnetic resonance imaging evaluation of vascularity after laparoscopic and abdominal myomectomy