Myomectomy for fertility enhancement and preservation.

摘要: Objective To review, evaluate, and synthesize current published reports assessing the value of abdominal myomectomy in infertile women those desiring to preserve fertility potential. Data Identification Major studies dealing with were identified through Medline Searches. Study Selection Those papers reporting results myomectomy, factors influencing them, potential future innovations obtained. Results More than half not previously pregnant undergoing childbearing capacity for treatment recurrent pregnancy wastage or previous infertility conceive. The long duration before surgery, absence other explain their conceiving, short time interval subsequent surgery which conception occurs suggests has patients leiomyomata otherwise unexplained infertility. operation carries acceptable risk. Approximately 25% have leiomyomata, but most recurrences are sufficiently delayed allow adequate opportunity conception. Conclusions Abdominal is an appropriate alternative hysterectomy who wish enhance it. For future, by endoscopic techniques may hold similar