A survey of the records of 103 consecutive patients who underwent abdo
minal myomectomy revealed that menorrhagia and infertility were the co
mmonest presenting complaints. The overall successful pregnancy rate w
as only 28.2%, but the procedure was corrective in two-thirds of patie
nts with leiomyomata-related infertility. Intra-operative blood loss,
post-operative adhesion formation and recurrence of tumour remain majo
r drawbacks of myomectomy.