Reproductive Outcomes following Use of Barbed Suture during Laparoscopic Myomectomy.
J Minim Invasive Gynecol
; 27(7): 1566-1572, 2020.
Article
em En
| MEDLINE
| ID: mdl-32109590
ABSTRACT
STUDY OBJECTIVE:
To review pregnancy outcomes after laparoscopic myomectomy with the use of barbed suture.DESIGN:
Retrospective cohort study and follow-up survey.SETTING:
Single, large academic medical center. PATIENTS Patients who underwent laparoscopic myomectomy with the use of barbed suture for myometrial closure between 2008 and 2016. INTERVENTION Laparoscopic myomectomy and a follow-up survey regarding pregnancy outcome. MEASUREMENTS AND MAINRESULTS:
A total of 486 patients met inclusion criteria and underwent a laparoscopic myomectomy between 2008 and 2016. Of the 428 with viable contact information, 240 agreed to participate (56%). Of those who responded to the survey, 101 (42%) attempted to get pregnant, and there were 4 unplanned pregnancies. There were 110 pregnancies among 76 survey respondents. In total, of the women attempting a postoperative pregnancy, 71% had at least 1 pregnancy. Comparing the women who did and did not conceive postoperatively, the group who got pregnant was on average younger, 33.8 ± 4.5 years vs 37.5 ± 6.5 years (pâ¯=â¯.001); had fewer myomas removed, median = 2 (range 1-9) vs median = 2 (range 1-16) myomas (pâ¯=â¯.038); and had a longer follow-up period, 30 months ( vs 30 (11-93 months) ± 20 (p <.001). The mean time to first postoperative pregnancy was 18.0 months (range 2-72 months). Of the 110 reported postoperative pregnancies, there were 60 live births (55%), 90% by means of cesarean section. The mean gestational age at birth was 37.8 weeks. In the cohort, there were 8 preterm births, 3 cases of abnormal placentation, 2 cases of fetal growth restriction, 3 cases of hypertensive disorders of pregnancy, and 2 cases of myoma degeneration requiring hospitalization for pain control. There were no uterine ruptures reported.CONCLUSION:
According to our findings, pregnancy outcomes after laparoscopic myomectomy with barbed suture are comparable with available literature on pregnancy outcomes with conventional smooth suture.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Uterinas
/
Técnicas de Sutura
/
Laparoscopia
/
Miomectomia Uterina
/
Leiomioma
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Minim Invasive Gynecol
Ano de publicação:
2020
Tipo de documento:
Article