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Human Reproduction Update, Vol.1, No.1 pp.81-90, 1995
© © Oxford University Press

other

Fertility after hysteroscopic myomectomy

Filippo Ubaldi, Herman Tournaye, Michel Camus, Harry Van der Pas, Elisabeth Gepts and Paul Devroey1

Centre for Reproductive Medicine, University Hospital, Vrije Universiteit Brussel-VUB Laarbeeklaan 101, B-1090 Brussels, Belgium

To whom correspondence should be addressed at: 1To whom correspondence should be addressed. Phone32-2-477-4111; Fax: 32 2-477-6549

The available data concerning hysteroscopic myomec-tomy for submucous myomas has been reviewed with the aim of evaluating the safety and efficacy of this technique in infertile women who wish to preserve or to enhance their fertility potential. A total of 134 infertile patients undergoing hysteroscopic myomectomy by resectoscope or by Nd:YAG laser or by scissors have been collectively recorded. Of these, 79 (58.9%) patients conceived. This clinical outcome is similar to that occurring after laparotomic submucous myomectomy. Moreover, the hysteroscopic approach has several advantages over its abdominal counterpart, such as reduction of length of time of hospitalization, less morbidity and no hysterotomy. The operative risk of hysteroscopic myomectomy is 3%. Uterine perforation, distension system hazard, infection and haemorrhage are the commonest complications. Hysteroscopic myomectomy is a safe, effective and relatively simple surgical procedure for the restoration of fertility.

Key words: fertility / hysteroscopic myomectorny / leiomyomas


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