[Laparoscopic myomectomy in infertile women].

OBJECTIVE

Evaluation of laparoscopic myomectomy in infertile patient.

DESIGN

Literary review.

SETTING

Institute for the Care of Mother and Child, Prague, Institute for Postgraduate Medical Education, Prague.

METHODS

Information and results of laparoscopic myomectomy in infertile patient were assessed and analysed.

RESULTS

Laparoscopic myomectomy in infertile patient is one of the most common surgical procedures. There are several complications after this procedure--adhesion formation, bleeding and uterine rupture during following pregnancy. The incidence of adhesion formation after laparoscopic myomectomy especially in case of intramural and deep subserosal fibroids of posterior uterine wall is high, almost in 60-90%. The uterine rupture following myomectomy represents only 2% of all uterine ruptures in pregnancy.

CONCLUSIONS

The laparoscopic approach in uterine fibroids treatment has been clearly established. The appropriate surgical management of uterine defect is mandatory. This approach is the best prevention of postoperative complications--adhaesions and uterine rupture.