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Effect of myomectory (old studies)
• Patients with intramural fibroids were divided into myomectomy versus expectant treatment, based on their own wish. Each group had 84 patients. The cumulative delivery rate was 25% in myomectomy arm versus 12% in no treatment arm (P=0.01) (Bulletti et al. 2004)
Effect of myomectory (old studies)
• If IM fibroids do indeed decrease fertility, it is not a given that their removal will reverse the process and normalize fertility or even be beneficial to the patient. Abdominal or laparoscopic myomectomy can be associated with significant morbidity, including infection, high rate of postoperative adhesion formation (Pritts 2009; Somigliana et al., 2007).
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PRECONGRESS COURSE 16 I VIENNA, AUSTRIA – 23 JUNE 2019 33
