To assess the pregnancy outcome and pregnancy-related complications after laparoscopic myomectomy in infertile patients.
Methodology: It is a Retrospective analysis carried out from January 2011 to December 2016 at a Tertiary care advanced laparoscopic center. (Radhakrishna Multispeciality hospital, Bengaluru)in which One Hundred and ten infertile patients with at least one uterine leiomyoma of 6 cm in diameter underwent laparoscopic myomectomy and their outcome was studied in the form of Occurrence of pregnancy, delivery rate, and pregnancy-related complications.
Results: The average size of the myomas removed was 9 cm (range 6–12 cm). None of the procedures were converted to laparotomy. The postoperative rate of intrauterine pregnancy was 60% (n 66). 10 conceived with IVF (15.1%) and 8 (12.1%) after intra uterine insemination and 48 (72.7%) conceived spontaneously. None had abortion. One women had a vaginal delivery without complications and 65 (97.77%) had a cesarean section. No antepartum or Intrapartum complications were reported. Surgical scar was clean without adhesions and intact in all the cases.
Conclusions: Laparoscopic myomectomy can be regarded as a safe alternative to abdominal myomectomy in the hands of the experienced surgeon, resulting in good subsequent pregnancy rates. Patient selection as well as meticulous surgical technique are the key factors in achieving a successful outcome.