Key clinical point: The surgical approach for removal of uterine fibroids should consider the number and size of fibroids, surgical time, and reproductive diagnosis with minimally invasive routes offered whenever possible because of its better outcome on achieving pregnancy.
Major finding: Laparotomic myomectomy was favored when the number ( P = .000) and weight ( P = .004) of fibroids were considered. Robotic surgery took a longer time than others ( P = .00). When the impact of number of fibroids on achieving pregnancy was analyzed, both groups with lesser ( P = .017) and greater ( P < .001) than 6 fibroids preferred minimally invasive routes like laparoscopic or robotic surgery.
Study details: Findings are from a retrospective, cross-sectional study including 69 patients with infertility who underwent myomectomy approaches, of which 21, 24, and 24 patients underwent laparotomy, conventional laparoscopy, and robotic-assisted laparoscopy, respectively.
Disclosures: No information on funding was available. The authors declared no conflict of interests.
Source: Morales HSG et al. JBRA Assist Reprod. 2021 Aug 20. doi: 10.5935/1518-0557.20210049.