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Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Laparoscopic myomectomy during pregnancy is indicated when symptoms related to uterine myomas persist despite pharmacologic therapy; however, currently there is very little information concerning its safety.

Methods

We report three cases of antepartum laparoscopic myomectomy performed to manage complicated myomas requiring surgical intervention.

Results

In particular, we report for the first time in literature the laparoscopic removal of two myomas in a patient during a single surgery performed in the 19th week of pregnancy followed by additional multiple myomectomy at the time of the cesarean section. All surgeries were without complication.

Conclusions

Our experience suggests that laparoscopic myomectomy may be performed safely during pregnancy; even more studies are needed to establish the exact rate of adverse events.

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Acknowledgments

Work supported by “Associazione sarda per la ricerca in oncologia ginecologica- ONLUS”. The authors thank Marisa Pilia, Alessandra Arca, Agostina Aversano, Luca Calia, Renzo Mongittu, Anna Rita Oi, Cinzia Palazzari and Stefano Piga for their technical assistance.

Conflict of interest

No conflict of interest has to be declared.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Sirai Hospital, 09013, Carbonia, Italy

    Antonio Macciò, Paraskevas Kotsonis & Antonio Caffiero

  2. Department of Medical Oncology, University of Cagliari, Cagliari, Italy

    Clelia Madeddu

  3. Department of Anesthesiology, Sirai Hospital, Carbonia, Italy

    Angelo Desogus

  4. Department of General Surgery, ASL 8, Cagliari, Italy

    Michele Pietrangeli

  5. Department of Obstetrics and Gynecology, University of Cagliari, Cagliari, Italy

    Anna Maria Paoletti

Authors
  1. Antonio Macciò
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  2. Clelia Madeddu
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  3. Paraskevas Kotsonis
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  4. Antonio Caffiero
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  5. Angelo Desogus
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  6. Michele Pietrangeli
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  7. Anna Maria Paoletti
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Correspondence to Antonio Macciò.

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Macciò, A., Madeddu, C., Kotsonis, P. et al. Three cases of laparoscopic myomectomy performed during pregnancy for pedunculated uterine myomas. Arch Gynecol Obstet 286, 1209–1214 (2012). https://doi.org/10.1007/s00404-012-2441-0

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  • DOI: https://doi.org/10.1007/s00404-012-2441-0

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