Study objective: To assess pregnancy outcomes and deliveries after laparoscopic myomectomy.
Design: Retrospective study (Canadian Task Force classification II-2).
Setting: General hospital.
Patients: Three hundred fifty-nine women.
Interventions: Laparoscopic myomectomy and laparoscopic and/or hysteroscopic treatment of associated pathologies.
Measurements and main results: Five patients (1.39%) were lost to follow-up. Seventy-two women were pregnant at least once after laparoscopic myomectomy, for a total of 76 pregnancies. Four women conceived twice and four are pregnant as of this writing. One multiple pregnancy occurred. Twelve pregnancies resulted in first-trimester miscarriage, one in an ectopic pregnancy, one in a blighted ovum, and one in a hydatiform mole. One patient underwent elective first-trimester termination of pregnancy. Thirty-one women had vaginal delivery at term and 26 were delivered by cesarean section. No case of uterine rupture or dehiscence occurred.
Conclusion: Our technique of laparoscopic myomectomy appears to allow safe vaginal delivery.