2014, Number 4
Embarazo en mujeres con antecedente de miomectomía con fines de fertilidad
Chávez-Gómez G, Trinidad-Martínez A, González-Azuara DA, Miranda-Rodríguez JA, Meza-López ME, Martínez-Zúñiga ML, Prado-Alcázar JJ, Contreras-Carreto NA
Language: Spanish
References: 11
Page: 167-171
PDF size: 145.67 Kb.
ABSTRACT
Introduction. Uterine fibroids are a common condition in women of reproductive age, and is not only associated with infertility, but also miscarriages and preterm delivery, among other diseases. Objective. Determine the incidence of pregnancy in women with a history of myomectomy for fertility treatment. Material and methods. Retrospective, cross-sectional, descriptive study realized in the Infertility Clinic, Women’s Hospital, Ministry of Health; Mexico, D.F.; during the period from 1st may 2010 to 30th April 2013. Results. A sample of 35 patients was obtained. In all of them myomectomy by laparatomy was performed. Average age was 32.4 ± 3.8 years old. After ultrasound analysis, large fibroids elements were found in 60.0% of patients; meanwhile intramural fibroids were present in 74.28%. After surgery; pregnancy was achieved in 25.7%, and 57.1% aborted. Conclusion. Our study analyzed institutional experience regarding myomectomy by laparatomy for fertility treatment. Our results are similar to literature and not conclusive, this may be due to; wide heterogeneity of treatment methods and techniques employed; as well as the expertise of surgeons performing the procedures.REFERENCES