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 (203 Česká republika), Robert HUDEČEK (203 Česká republika, garant, domácí), Elo OBIEROMAH (703 Slovensko), Radim MAREK (203 Česká republika), Jaroslav KLAT (203 Česká republika), Peter KASCAK (703 Slovensko), Borek SEHNAL (203 Česká republika), Zdenka LISA (203 Česká republika) a Sona PANKOVA (203 Česká republika)
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
Kód RIV
RIV/00216224:14110/20:00115976
Organizační jednotka
Lékařská fakulta
UT WoS
000537344100006
Klíčová slova anglicky
fertility; infertility; female; laparoscopic myomectomy; leiomyoma; open myomectomy; pregnancy rate; reproductive techniques; uterine fibroids; uterine neoplasms
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.