Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy
Background/Aims. To compare long-term fertility and bleeding outcomes of women who underwent robotic-assisted, laparoscopic, and abdominal myomectomy at our institution over a 15-year period. Methods. This was a retrospective cohort study of myomectomy patients 18–39 years old that had surgery betwe...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2016/2789201 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849697375969345536 |
|---|---|
| author | Rebecca Flyckt Enrique Soto Benjamin Nutter Tommaso Falcone |
| author_facet | Rebecca Flyckt Enrique Soto Benjamin Nutter Tommaso Falcone |
| author_sort | Rebecca Flyckt |
| collection | DOAJ |
| description | Background/Aims. To compare long-term fertility and bleeding outcomes of women who underwent robotic-assisted, laparoscopic, and abdominal myomectomy at our institution over a 15-year period. Methods. This was a retrospective cohort study of myomectomy patients 18–39 years old that had surgery between January 1995 and December 2009 at our institution. Long-term follow-up on fertility and bleeding outcomes was collected from the patient directly. The uterine fibroid symptom and quality of life survey was also administered to assess current bleeding patterns. Baseline characteristics were compared across groups. Univariable comparisons of fertility and bleeding outcomes based on surgical approach were made using analysis of variance, Kruskal-Wallis analysis of ranks, and Chi-square tests as appropriate. Results. 134/374 (36%) subjects agreed to participate in the study. 81 subjects underwent an open procedure versus 28 and 25 subjects in the laparoscopic and robotic groups, respectively. Median follow-up after surgery was 8 years. 50% of patients desired pregnancy following surgery and, of those, 60% achieved spontaneous pregnancy; the spontaneous pregnancy rate did not differ between groups. Additionally, UFS-QOL scores and/or subscores did not differ between groups. Conclusion. There is no significant difference in long-term bleeding or fertility outcomes in robotic-assisted, laparoscopic, or abdominal myomectomy. |
| format | Article |
| id | doaj-art-76542fde52ca44148b17382d8f2b8b53 |
| institution | DOAJ |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-76542fde52ca44148b17382d8f2b8b532025-08-20T03:19:14ZengWileyObstetrics and Gynecology International1687-95891687-95972016-01-01201610.1155/2016/27892012789201Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal MyomectomyRebecca Flyckt0Enrique Soto1Benjamin Nutter2Tommaso Falcone3Obstetrics, Gynecology, and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USAObstetrics, Gynecology, and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USAObstetrics, Gynecology, and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USAObstetrics, Gynecology, and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USABackground/Aims. To compare long-term fertility and bleeding outcomes of women who underwent robotic-assisted, laparoscopic, and abdominal myomectomy at our institution over a 15-year period. Methods. This was a retrospective cohort study of myomectomy patients 18–39 years old that had surgery between January 1995 and December 2009 at our institution. Long-term follow-up on fertility and bleeding outcomes was collected from the patient directly. The uterine fibroid symptom and quality of life survey was also administered to assess current bleeding patterns. Baseline characteristics were compared across groups. Univariable comparisons of fertility and bleeding outcomes based on surgical approach were made using analysis of variance, Kruskal-Wallis analysis of ranks, and Chi-square tests as appropriate. Results. 134/374 (36%) subjects agreed to participate in the study. 81 subjects underwent an open procedure versus 28 and 25 subjects in the laparoscopic and robotic groups, respectively. Median follow-up after surgery was 8 years. 50% of patients desired pregnancy following surgery and, of those, 60% achieved spontaneous pregnancy; the spontaneous pregnancy rate did not differ between groups. Additionally, UFS-QOL scores and/or subscores did not differ between groups. Conclusion. There is no significant difference in long-term bleeding or fertility outcomes in robotic-assisted, laparoscopic, or abdominal myomectomy.http://dx.doi.org/10.1155/2016/2789201 |
| spellingShingle | Rebecca Flyckt Enrique Soto Benjamin Nutter Tommaso Falcone Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy Obstetrics and Gynecology International |
| title | Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy |
| title_full | Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy |
| title_fullStr | Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy |
| title_full_unstemmed | Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy |
| title_short | Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy |
| title_sort | comparison of long term fertility and bleeding outcomes after robotic assisted laparoscopic and abdominal myomectomy |
| url | http://dx.doi.org/10.1155/2016/2789201 |
| work_keys_str_mv | AT rebeccaflyckt comparisonoflongtermfertilityandbleedingoutcomesafterroboticassistedlaparoscopicandabdominalmyomectomy AT enriquesoto comparisonoflongtermfertilityandbleedingoutcomesafterroboticassistedlaparoscopicandabdominalmyomectomy AT benjaminnutter comparisonoflongtermfertilityandbleedingoutcomesafterroboticassistedlaparoscopicandabdominalmyomectomy AT tommasofalcone comparisonoflongtermfertilityandbleedingoutcomesafterroboticassistedlaparoscopicandabdominalmyomectomy |