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2014, Number 4

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Med Sur 2014; 21 (4)

Embarazo en mujeres con antecedente de miomectomía con fines de fertilidad

Chávez-Gómez G, Trinidad-Martínez A, González-Azuara DA, Miranda-Rodríguez JA, Meza-López ME, Martínez-Zúñiga ML, Prado-Alcázar JJ, Contreras-Carreto NA
Full text How to cite this article

Language: Spanish
References: 11
Page: 167-171
PDF size: 145.67 Kb.


Key words:

Uterine fibroids, Infertility, Pregnancy, Abortion.

ABSTRACT

Introduction. Uterine fibroids are a common condition in women of reproductive age, and is not only associated with infertility, but also miscarriages and preterm delivery, among other diseases. Objective. Determine the incidence of pregnancy in women with a history of myomectomy for fertility treatment. Material and methods. Retrospective, cross-sectional, descriptive study realized in the Infertility Clinic, Women’s Hospital, Ministry of Health; Mexico, D.F.; during the period from 1st may 2010 to 30th April 2013. Results. A sample of 35 patients was obtained. In all of them myomectomy by laparatomy was performed. Average age was 32.4 ± 3.8 years old. After ultrasound analysis, large fibroids elements were found in 60.0% of patients; meanwhile intramural fibroids were present in 74.28%. After surgery; pregnancy was achieved in 25.7%, and 57.1% aborted. Conclusion. Our study analyzed institutional experience regarding myomectomy by laparatomy for fertility treatment. Our results are similar to literature and not conclusive, this may be due to; wide heterogeneity of treatment methods and techniques employed; as well as the expertise of surgeons performing the procedures.


REFERENCES

  1. Colomé C, Carrasco M, Agramunt S, Checa MA, Carreras R. Fertilidad en mujeres mayores de 40 años. Ginecología y Obstetricia Clínica 2008; 9(4): 216-27.

  2. Guo X C, Segars J H. The impact and management of fibroids for fertility: an evidence-based approach. Obstet Gynecol Clin North Am 2012; 74: 521-33.

  3. Levy G, Hill MJ, Beall S, Zarek SM, Segars JH, Catherino WH. Leiomyoma: genetics, assisted reproduction, pregnancy and therapeutic advances. J Assist Reprod Genet 2012; 29: 703-12.

  4. Abrao MS, Muzii L, Marana R. Anatomical causes of female infertility and their management. Int J Gynaecol Obstet 2013; 123(2): 18-24.

  5. Zaima A, Ash A. Fibroid in pregnancy: characteristics, complications, and management. Postgrad Med J 2011; 87(1034): 819-28.

  6. Marret H, et al. Therapeutic management of uterine fibroid tumors: Updated French guidelines. European Journal of Obstetrics & Gynecology and Reproductive Biology 2012; 165: 156-64.

  7. Bosteels J, Weyers S, Mathieu C, et al. The effectiveness of reproductive surgery in the treatment of female infertility: facts, views and vision. F, V & V in ObGyn 2010; 2: 232-52.

  8. Ortiz RME, et al. Miomatosis uterina. An Med (Mex) 2009; 54(4): 222-33.

  9. Saavedra J. Miomatosis uterina e infertilidad: indicaciones de tratamiento convencional. RCOG 2003; 54(2): 121-34.

  10. Pérez LE, Díaz I, Ospina L. Miomatosis uterina e infertilidad: ¿qué evidencias tenemos como causa y como tratamiento? Rev Colomb Obstet Ginecol 2008; 59(4): 335-42.

  11. Berkeley AS, DeCherney AH, Polan ML. Abdominal myomectomy and subsequent fertility. Surg Gynaecol Obstet 1983; 156: 319-22.




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Med Sur. 2014;21