Volume 7, Issue 2 pp. 105-107

Laparoscopic myomectomy during pregnancy

Dov Luxman

Dov Luxman

Lis Maternity Hospital, Souraski Medical Center and the Sackler School of Medicine, Tel Aviv University, Israel

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Jacob R. Cohen

Jacob R. Cohen

Lis Maternity Hospital, Souraski Medical Center and the Sackler School of Medicine, Tel Aviv University, Israel

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Menachem P. David

Menachem P. David

Lis Maternity Hospital, Souraski Medical Center and the Sackler School of Medicine, Tel Aviv University, Israel

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First published: 09 October 2008
Citations: 7
Luxman Obstetrics and Gynecology Division, Lis Maternity Hospital, Souraski Medical Center, 6 Weizmann Street, Tel Aviv, 67441, Israel.

Abstract

Objective

To describe a unique case of laparoscopic myomectomy during pregnancy.

Setting

A university-affiliated maternity hospital.

Subject

A 27-year-old primigravida presenting with acute abdominal pain at 15 weeks of gestation. A diagnosis of torsion of a subserous myoma was made following failure of conservative treatment.

Intervention

On laparoscopy, a 7-cm subserous pedunculated myoma was demonstrated. Laparoscopic myomectomy was successfully accomplished.

Results

No intra- or postoperative complications were recorded. The woman delivered vaginally a healthy baby at 39 weeks' gestation.

Conclusions

Laparoscopic myomectomy during pregnancy is feasible. This procedure cannot be generally recommended since data concerning the safety of laparoscopic operation in general and myomectomy in particular, are limited. The patients should be carefully selected, and the operation should be performed by an experienced surgeon to guarantee a favourable outcome.

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