AUTHOR=Mercorio Antonio , Della Corte Luigi , Boccia Dominga , Palumbo Mario , Reppuccia Sabrina , Buonfantino Cira , Cuomo Lara , Borgo Maria , Zitiello Antonio , De Angelis Maria Chiara , Laganà Antonio Simone , Bifulco Giuseppe , Giampaolino Pierluigi 

TITLE=Myomectomy in infertile women: More harm than good?

JOURNAL=Frontiers in Surgery

VOLUME=Volume 10 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2023.1151901

DOI=10.3389/fsurg.2023.1151901

ISSN=2296-875X

ABSTRACT=Adhesions formation following gynecological surgery remains a challenge.                                                                The adoption of minimal invasive surgical approaches such as conventional or robotic-assisted laparoscopy combined with meticulous microsurgical principles and the application of adhesion –reducing substances may reduce the risk of de novo adhesion formation but do not eliminate it entirely. Myomectomy is the most adhesiogenic surgical procedure and postoperative adhesions following it, could have a significantly impact on the ability to conceive, therefore several considerations should be taken into account when surgery is performed for fertility enhancement.                                                                                                                                                     Since the impact of fibroids on reproductive function is controversial, an adequate evaluation whether the benefits outweigh the surgical risk is needful.                                                                                                                      Among several factors,the  size and location of fibroids  are the most accountable factors in terms of adhesion production  and development of secondary infertility; therefore  the search for effective strategies  against adhesion formation  in this setting is required .                                                                                                         Purpose of this paper is to review the incidence and factors of adhesion formation and the current best preventive measures.