Fertility and obstetrical outcomes after robot‐assisted laparoscopic myomectomy. Issue 1 (18th December 2019)

• Record Type: Journal Article
• Authors: Huberlant, Stéphanie; Lenot, Juliette; Neron, Mathias; Ranisavljevic, Noémie; Letouzey, Vincent; De Tayrac, Renaud; Masia, Florent; Warembourg, Sophie
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 16:Issue 1(2020)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2019-12-18
• Subjects: infertility -- miscarriage -- myoma -- robot‐assisted myomectomy -- synechiae; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2059
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: 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.