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The Impact of Laparoscopic Myomectomy on Pregnancy Outcomes: A Systematic Review
Study Objective:
- Investigate how laparoscopic myomectomy techniques affect pregnancy outcomes
- Focus on the correlation between suture type and uterine rupture incidence
- Examine how myoma localization and size influence fertility outcomes
Data Sources:
- MDPI, PubMed, Web of Science, and Cochrane Library databases from 2008 to November 2023
Methods of Study Selection:
- Women of reproductive age with fibroids undergoing surgical fibroid removal
- Evaluation of pregnancy outcomes including live birth rates, miscarriage rates, stillbirth rates, premature delivery rates, and cases of uterine rupture
- Quality assessment using National Institutes of Health Study Quality Assessment Tools
Results:
- Promising number of pregnancies and live births post-myoma treatment
- Potential risks of miscarriages and preterm births
- Diversity in outcomes emphasizes the need for tailored patient care and further research
Conclusion:
- Insights into patient selection and intraoperative methodologies for laparoscopic myomectomy
- Additional research needed to understand the associations between fibroid characteristics and reproductive outcomes
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