Premium
Fertility and obstetrical outcomes after robot‐assisted laparoscopic myomectomy
Author(s) -
Huberlant Stéphanie,
Lenot Juliette,
Neron Mathias,
Ranisavljevic Noémie,
Letouzey Vincent,
De Tayrac Renaud,
Masia Florent,
Warembourg Sophie
Publication year - 2020
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2059
Subject(s) - medicine , hysteroscopy , pregnancy , retrospective cohort study , obstetrics , fertility , uterine rupture , caesarean section , live birth , myoma , uterine cavity , medical record , surgery , uterus , population , genetics , environmental health , biology
Objective To evaluate fertility after robot‐assisted laparoscopic myomectomy (RALM) in terms of pregnancy rates, and obstetrical outcomes. Patients This is a retrospective cohort of RALM performed for symptomatic leiomyomas among women who want to conceive. Medical data were retrospectively reviewed. An office hysteroscopy was prescribed 3 months after the surgery. Results Fifty‐three patients were included. The mean number of myomas was 2 ± 1.5 with a mean size of 69 ± 17.7 mm. A breach of the cavity was noticed in 15.1% of the cases. Two cases of intrauterine adhesions were diagnosed and treated during the post‐operative office hysteroscopy (5.7%). Clinical pregnancy rates were 52.8% with a live birth rate of 41.5% in patients desiring pregnancy. A caesarean section was performed in 17 cases (70.8%). No case of uterine rupture was reported. Conclusion More than half of the patients became pregnant after RALM. A low rate of obstetrical complications was reported, with no uterine ruptures, highlighting the promise of this technique for infertile patients.