MARA, Michal, Robert HUDEČEK, Elo OBIEROMAH, Radim MAREK, Jaroslav KLAT, Peter KASCAK, Borek SEHNAL, Zdenka LISA and Sona PANKOVA. Early and Late Pregnancy Rate After Myomectomy Among Women with Symptomatic Uterine Fibroids. The Journal of Reproductive Medicine. Sant Louis: SCI PRINTERS & PUBL INC, 2020, vol. 65, 3-4, p. 100-106. ISSN 0024-7758.
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Basic information
Original name Early and Late Pregnancy Rate After Myomectomy Among Women with Symptomatic Uterine Fibroids
Authors MARA, Michal (203 Czech Republic), Robert HUDEČEK (203 Czech Republic, guarantor, belonging to the institution), Elo OBIEROMAH (703 Slovakia), Radim MAREK (203 Czech Republic), Jaroslav KLAT (203 Czech Republic), Peter KASCAK (703 Slovakia), Borek SEHNAL (203 Czech Republic), Zdenka LISA (203 Czech Republic) and Sona PANKOVA (203 Czech Republic).
Edition The Journal of Reproductive Medicine, Sant Louis, SCI PRINTERS & PUBL INC, 2020, 0024-7758.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30214 Obstetrics and gynaecology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 0.142
RIV identification code RIV/00216224:14110/20:00115976
Organization unit Faculty of Medicine
UT WoS 000537344100006
Keywords in English fertility; infertility; female; laparoscopic myomectomy; leiomyoma; open myomectomy; pregnancy rate; reproductive techniques; uterine fibroids; uterine neoplasms
Tags 14110411, GPK, GPKgyn, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 15/7/2020 07:29.
Abstract
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.
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