Purpose
Fibroids may cause infertility and recurrent pregnancy loss. Studies have analysed the reproductive results after myomectomy
according to the size, location and number of fibroids removed, but data are insufficient about comparison of opening the
uterine cavity or not during surgery.
Materials and methods
Two hundred twenty-nine abdominal myomectomies with the indication of infertility and/or recurrent pregnancy loss were analysed
retrospectively. The main purpose was to compare postoperative pregnancy, delivery and miscarriage rates according to either
the uterine cavity was opened or not during the surgery. As a secondary outcome postoperative pregnancy rates were assessed
by location, size and number of fibroids.
Results
There was no significant difference in reproductive results according to either the uterine cavity was opened or remained
closed. Preoperative location, size and number of fibroids did not influence significantly the postoperative pregnancy rates.
Conclusion
Opening the uterine cavity does not impair postoperative pregnancy rates. Preoperative location, size and number of fibroids
do not influence postoperative reproductive results.
Keywords Abdominal myomectomy - Fibroid - Opened uterine cavity - Pregnancy rate
Capsule Comparing postoperative pregnancy rates after abdominal myomectomy we found no significant difference according to either
the uterine cavity was opened or remained closed during surgery.