AUTHOR=Ordás Polán , Spagnolo Emanuela , Fernández Lucía Gómez-Lavín , Diestro Tejeda María Dolores , Lafuente Pilar , Salas Patricia , Lopez Carrasco Ana , Carbonell María , Hernández Alicia 

TITLE=Comparison of surgical and obstetric outcomes in women with uterine leiomyomas after laparoscopic vs. abdominal myomectomy: A single-center cohort study

JOURNAL=Frontiers in Surgery

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.997078

DOI=10.3389/fsurg.2022.997078

ISSN=2296-875X

ABSTRACT=Our aim was to study the advantages, complications and obstetrical outcomes of laparoscopic (LM) compared with abdominal myomectomy (AM). We carried out a retrospective cohort study at La Paz University Hospital included LMs and AMs performed between 2012 and 2018. 254 myomectomies (142 AMs [55.7%] and 112 LMs [43.9%]) were analysed. The mean number of fibroids was 1.8 ± 1.5 and 3 ± 2.9 for LM and AM groups, respectively (p<0.006). The mean size of the largest myoma was 7.6 ± 2.7 cm and 10.2 ± 5.4 cm for LM and AM groups, respectively (p<0.001). LMs showed association with longer surgical time (p<0.001) and shorter hospitalisations (P=0.001). There were no differences in intraoperative and postoperative complication rates (p=0.075 and p=0.285 for LM and AM, respectively). The subsequent pregnancy rate was higher for LM group (30.8% vs. 16.8%, p=0.009), with vaginal delivery rate of 69% and no cases of uterine rupture.