Pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure

BACKGROUND: To evaluate pregnancy outcomes following laparoscopic myomectomy and single-layer myometrial closure. METHODS: This study conducted at a private advanced endoscopy and assisted reproductive technology centre retrospectively evaluated outcomes of 115 women who had pregnancies subsequent to laparoscopic myomectomy. RESULTS: Of the 217 women followed up, 115 had pregnancies subsequent to a laparoscopic myomectomy. Of 141 pregnancies, there were 87 Caesarean sections, 19 vaginal deliveries, 29 abortions and 6 ectopic pregnancies. There were no incidents of uterine scar rupture in any of these pregnancies. CONCLUSIONS: Uterine rupture during pregnancies following laparoscopic myomectomy is rare following single-layer myometrial closure.