Key clinical point: Preliminary data showed a low risk for uterine rupture with single-layer closure of the myometrium after laparoscopic myomectomy (LM) and therefore can be considered a safe option for subsequent pregnancies.
Major finding: Overall, 24 pregnant women underwent single-layer closure of the myometrium after LM. The mean duration between the operation and the first pregnancy was 10.2 months. Overall, 24 patients needed a cesarean section (C-section) delivery, 6 had a miscarriage, and 2 had an intrauterine pregnancy. Of these, 8 patients were pregnant again and underwent a C-section delivery. No cases of uterine rupture were observed.
Study details: Findings are from a retrospective study including 102 women who underwent single-layer sutured LM to remove uterine fibroids larger than 5 cm and associated with the myometrium.
Disclosures: The study did not report any source of funding. The authors declared no conflict of interests.
Source: Aksin S et al. Int J Clin Pract. 2021 Sep 15. doi: 10.1111/ijcp.14870 .