LAPAROSCOPIC MYOMECTOMY DURING PREGNANCY

Objective To describe a unique case of laparoscopic myomectomy during pregnancy. Setting A university-affiliated maternity hospital. Subject A 27-year-old primigravida presenting with acute abdominal pain at 15 weeks of gestation. A diagnosis of torsion of a subserous myoma was m ade following failure of conservative treatment. Intervention On lapar oscopy, a 7-cm subserous pedunculated myoma was demonstrated. Laparosc opic myomectomy was successfully accomplished. Results No intra- or po stoperative complications were recorded. The woman delivered vaginally a healthy baby at 39 weeks' gestation. Conclusions Laparoscopic myome ctomy during pregnancy is feasible. This procedure cannot be generally recommended since data concerning the safety of laparoscopic operatio n in general and myomectomy in particular, are limited. The patients s hould be carefully selected, and the operation should be performed by an experienced surgeon to guarantee a favourable outcome.