2013 Volume 72 Issue 2 Pages 102-107
Laparoscopic myomectomy (LM) is widely performed due to its lower invasiveness, reduced postoperative adhesion, and better postoperative appearance compared to abdominal myomectomy (AM). Thus, cases of pregnancy and delivery after LM are likely to increase, along with an older maternal age at child birth due to later marriages. Uterine rupture is a major complication of pregnancy after myomectomy. Here, we report our experience of a patient who underwent LM at our hospital and then became pregnant and delivered by Cesarean section. Based on this experience, we compared the effects of pregnancy on the surgical wound site after laparoscopic and abdominal myomectomy. The risk of uterine rupture caused by pregnancy may be higher in LM compared to AM, but this risk can be decreased by improved suturing techniques and avoidance of excessive use of diathermy for hemostasis in LM, as currently performed for AM.
