J 2020

Early and Late Pregnancy Rate After Myomectomy Among Women with Symptomatic Uterine Fibroids

MARA, Michal; Robert HUDEČEK; Elo OBIEROMAH; Radim MAREK; Jaroslav KLAT et al.

Základní údaje

Originální název

Early and Late Pregnancy Rate After Myomectomy Among Women with Symptomatic Uterine Fibroids

Autoři

MARA, Michal; Robert HUDEČEK; Elo OBIEROMAH; Radim MAREK; Jaroslav KLAT; Peter KASCAK; Borek SEHNAL; Zdenka LISA a Sona PANKOVA

Vydání

The Journal of Reproductive Medicine, Sant Louis, SCI PRINTERS & PUBL INC, 2020, 0024-7758

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 0.142

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/20:00115976

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

fertility; infertility; female; laparoscopic myomectomy; leiomyoma; open myomectomy; pregnancy rate; reproductive techniques; uterine fibroids; uterine neoplasms

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 15. 7. 2020 07:29, Mgr. Tereza Miškechová

Anotace

V originále

OBJECTIVE: To determine the number of spontaneously conceived pregnancies achieved during the first and second year after laparoscopic or open myomectomy. STUDY DESIGN: A multicentric, nonrandomized, prospective clinical study. The study cohort consisted of 392 reproductive-age women with symptomatic intramural uterine fibroids desiring pregnancy who underwent laparoscopic or open myomectomy and were monitored for 2.5 years after surgery. The number and rate of pregnancies during the first and second year after myomectomy were evaluated, and the results between the groups were compared. RESULTS: During a follow-up period of 2.5 years, no significant difference in total pregnancy rate was recorded in the 2 groups. However, a significantly higher early pregnancy rate was observed with the laparoscopic myomectomy group as compared to the early pregnancy rate among the open myomectomy group (60.3% vs. 44.2%, p=0.006), although there was not a significantly higher late pregnancy rate in the open myomectomy group when compared with the late pregnancy rate among the laparoscopic myomectomy group (22.1% vs. 14.5%, p=0.080). CONCLUSION: A significantly higher early pregnancy rate exists among patients following laparoscopic myomectomy when compared to the early pregnancy rate among women after an open myomectomy.