Laparoscopic removal of a 1500-g symptomatic myoma during the second trimester of pregnancy.

A successful myomectomy was performed in the second trimester of pregnancy to remove a 1500-g, symptomatic myoma that was refractory to conservative therapy. A laparoscopic single umbilical puncture technique was used. We suggest that laparoscopic myomectomy can be performed safely and effectively during pregnancy. If further studies confirm our experience, for selected patients, it should be considered a minimally invasive alternative to traditional laparotomy when myomectomy during pregnancy becomes inevitable for the removal of symptomatic pedunculated tumors.