Reproductive Outcomes following Use of Barbed Suture during Laparoscopic Myomectomy. Academic Article uri icon

Overview

abstract

  • STUDY OBJECTIVE: To review pregnancy outcomes after laparoscopic myomectomy with the use of barbed suture. DESIGN: Retrospective cohort study and follow-up survey. SETTING: Single, large academic medical center. PATIENTS: Patients who underwent laparoscopic myomectomy with the use of barbed suture for myometrial closure between 2008 and 2016. INTERVENTION: Laparoscopic myomectomy and a follow-up survey regarding pregnancy outcome. MEASUREMENTS AND MAIN RESULTS: A total of 486 patients met inclusion criteria and underwent a laparoscopic myomectomy between 2008 and 2016. Of the 428 with viable contact information, 240 agreed to participate (56%). Of those who responded to the survey, 101 (42%) attempted to get pregnant, and there were 4 unplanned pregnancies. There were 110 pregnancies among 76 survey respondents. In total, of the women attempting a postoperative pregnancy, 71% had at least 1 pregnancy. Comparing the women who did and did not conceive postoperatively, the group who got pregnant was on average younger, 33.8 ± 4.5 years vs 37.5 ± 6.5 years (p = .001); had fewer myomas removed, median = 2 (range 1-9) vs median = 2 (range 1-16) myomas (p = .038); and had a longer follow-up period, 30 months ( vs 30 (11-93 months) ± 20 (p <.001). The mean time to first postoperative pregnancy was 18.0 months (range 2-72 months). Of the 110 reported postoperative pregnancies, there were 60 live births (55%), 90% by means of cesarean section. The mean gestational age at birth was 37.8 weeks. In the cohort, there were 8 preterm births, 3 cases of abnormal placentation, 2 cases of fetal growth restriction, 3 cases of hypertensive disorders of pregnancy, and 2 cases of myoma degeneration requiring hospitalization for pain control. There were no uterine ruptures reported. CONCLUSION: According to our findings, pregnancy outcomes after laparoscopic myomectomy with barbed suture are comparable with available literature on pregnancy outcomes with conventional smooth suture.

authors

  • Pepin, Kristen
  • Dmello, Monalisa
  • Sandberg, Evelien
  • Hill-Verrochi, Catherine
  • Maghsoudlou, Parmida
  • Ajao, Mobolaji
  • Cohen, Sarah L
  • Einarsson, Jon I

publication date

  • February 25, 2020

Research

keywords

  • Laparoscopy
  • Leiomyoma
  • Suture Techniques
  • Uterine Myomectomy
  • Uterine Neoplasms

Identity

Scopus Document Identifier

  • 85082526788

Digital Object Identifier (DOI)

  • 10.1016/j.jmig.2020.02.005

PubMed ID

  • 32109590

Additional Document Info

volume

  • 27

issue

  • 7