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Laparoscopic Myomectomy at 25 Weeks of Pregnancy: Case Report

Laparoscopic Myomectomy at 25 Weeks of Pregnancy: Case Report,10.1016/j.jmig.2009.08.004,Journal of Minimally Invasive Gynecology,Francesco Fanfani,Cr

Laparoscopic Myomectomy at 25 Weeks of Pregnancy: Case Report   (Citations: 1)
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We performed laparoscopic myomectomy for treatment of a large, twisted, subserous myoma at 25 weeks of pregnancy in a woman with acute abdominal pain that did not respond to analgesic therapy. There are few reports in literature about laparoscopic management of uterine leiomyoma during the first half of pregnancy that demonstrate its feasibility in selected cases. Laparoscopic myomectomy can be considered a minimally invasive alternative to the traditional laparotomy when myomectomy is necessary during the second half of pregnancy, resulting in less postoperative pain and shorter recovery time.
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    • ...Most cases of laparotomic myomectomy described in literature have been done during a cesarean section, while few cases of subserosal myomectomy are described during pregnancy [1, 2]...
    • ...excisions of subserous myomas [2, 4] and in procedures performed laparoscopically [1]...
    • ...Laparoscopy, once considered an absolute contraindication in pregnancy, can be seen in some cases (subserous pedunculated myomas) as a valid option in the surgical management of pregnant women with symptomatic myomas, due to its characteristics of less invasive, minimal postoperative pain and earlier postoperative ambulation [1]...

    V. Lozzaet al. Multiple laparotomic myomectomy during pregnancy: a case report

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