[Organ-sparing surgery of leiomyomas of the uterus in young females].

At the IInd Dept. of Obstet. and Gynaecology, University of Vienna, in the five year period between 1979 and 1984 enucleation of uterine leiomyomas was performed in 27 cases. At the time of operation all of them desired children. All leiomyomas were located in the uterine corpus. The biggest one held 13 cm in diameter. In spite of avoiding endometrial lesions the cavity of the uterus was opened during surgery in 5 cases. None of the patients showed intra- or postoperative complications. We were able to receive follow-up informations of 21 patients. In 8 cases different contraceptives were used. 8 women became pregnant after surgery. Five of them had term deliveries, in three cases early abortions occurred. One woman suffered from recurrent leiomyomas, which led to hysterectomy 3 years later. These findings suggest that conservative surgery in cases of leiomyomas of the uterus could promote or preserve young women's fertility.