Pregnancy following treatment of symptomatic myomas with laparoscopic bipolar coagulation of uterine vessels

Yi Jen Chen, Peng Hui Wang, Chiou Chung Yuan, Yuan Kuei Yen, Ming Jie Yang, Heung Tat Ng, Sheng Ping Chang, Wei Min Liu

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Background: Laparoscopic bipolar coagulation of uterine vessels (LBCUV) has been employed for women with symptomatic uterine myomas, but its effect on subsequent pregnancy has not been characterized. Methods: Four-hundred and twenty-three women entered the study between March 1999 and December 2001. Of these, 142 women (33.6%) were under the age of 40 years at the time of LBCUV, 36 of whom (36/142, 25.3%) were sexually active without contraception. In a prospective study of 142 patients (3 before and after LBCUV respectively. Volume of the dominant myoma after pregnancy was 46.2 ± 76.7 cm3 (mean ± SD). There was a significant difference in myoma volume before and after LBCUV (P = 0. 002), but no significant difference in myoma volume when comparing post-partum size with post-LBCUV size (P = 0.269). Pregnancy outcomes included seven miscarriages in the first trimester and one premature rupture of membrane (PPROM). Although the other pregnancies were regarded as uncomplicated, only two women were delivered of normal neonates as the other seven pregnancies were terminated secondary to patient request. Conclusions: The pregnancy and term pregnancy rates in sexually active women without contraception were 41.6% (15/36) and 5.6% (2/36) respectively. Because a relatively high rate (7/17, 41.2%) of early miscarriages was observed, we recommend that this procedure be employed only for women who do not desire additional children.

Original languageEnglish
Pages (from-to)1077-1081
Number of pages5
JournalHuman Reproduction
Volume18
Issue number5
DOIs
Publication statusPublished - May 1 2003

Fingerprint

Myoma
Pregnancy
Spontaneous Abortion
Contraception
Therapeutics
Pregnancy Rate
First Pregnancy Trimester
Pregnancy Outcome
Rupture
Newborn Infant
Prospective Studies
Membranes

Keywords

  • Laparoscopic bipolar coagulation of uterine vessels
  • Laparoscopic surgery
  • Myoma
  • Pregnancy

ASJC Scopus subject areas

  • Physiology
  • Developmental Biology
  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Pregnancy following treatment of symptomatic myomas with laparoscopic bipolar coagulation of uterine vessels. / Chen, Yi Jen; Wang, Peng Hui; Yuan, Chiou Chung; Yen, Yuan Kuei; Yang, Ming Jie; Ng, Heung Tat; Chang, Sheng Ping; Liu, Wei Min.

In: Human Reproduction, Vol. 18, No. 5, 01.05.2003, p. 1077-1081.

Research output: Contribution to journalArticle

Chen, Yi Jen ; Wang, Peng Hui ; Yuan, Chiou Chung ; Yen, Yuan Kuei ; Yang, Ming Jie ; Ng, Heung Tat ; Chang, Sheng Ping ; Liu, Wei Min. / Pregnancy following treatment of symptomatic myomas with laparoscopic bipolar coagulation of uterine vessels. In: Human Reproduction. 2003 ; Vol. 18, No. 5. pp. 1077-1081.
@article{eb0e14d02ffa40c5ab3c4dc7a1477565,
title = "Pregnancy following treatment of symptomatic myomas with laparoscopic bipolar coagulation of uterine vessels",
abstract = "Background: Laparoscopic bipolar coagulation of uterine vessels (LBCUV) has been employed for women with symptomatic uterine myomas, but its effect on subsequent pregnancy has not been characterized. Methods: Four-hundred and twenty-three women entered the study between March 1999 and December 2001. Of these, 142 women (33.6{\%}) were under the age of 40 years at the time of LBCUV, 36 of whom (36/142, 25.3{\%}) were sexually active without contraception. In a prospective study of 142 patients (3 before and after LBCUV respectively. Volume of the dominant myoma after pregnancy was 46.2 ± 76.7 cm3 (mean ± SD). There was a significant difference in myoma volume before and after LBCUV (P = 0. 002), but no significant difference in myoma volume when comparing post-partum size with post-LBCUV size (P = 0.269). Pregnancy outcomes included seven miscarriages in the first trimester and one premature rupture of membrane (PPROM). Although the other pregnancies were regarded as uncomplicated, only two women were delivered of normal neonates as the other seven pregnancies were terminated secondary to patient request. Conclusions: The pregnancy and term pregnancy rates in sexually active women without contraception were 41.6{\%} (15/36) and 5.6{\%} (2/36) respectively. Because a relatively high rate (7/17, 41.2{\%}) of early miscarriages was observed, we recommend that this procedure be employed only for women who do not desire additional children.",
keywords = "Laparoscopic bipolar coagulation of uterine vessels, Laparoscopic surgery, Myoma, Pregnancy",
author = "Chen, {Yi Jen} and Wang, {Peng Hui} and Yuan, {Chiou Chung} and Yen, {Yuan Kuei} and Yang, {Ming Jie} and Ng, {Heung Tat} and Chang, {Sheng Ping} and Liu, {Wei Min}",
year = "2003",
month = "5",
day = "1",
doi = "10.1093/humrep/deg200",
language = "English",
volume = "18",
pages = "1077--1081",
journal = "Human Reproduction",
issn = "0268-1161",
publisher = "Oxford University Press",
number = "5",

}

TY - JOUR

T1 - Pregnancy following treatment of symptomatic myomas with laparoscopic bipolar coagulation of uterine vessels

AU - Chen, Yi Jen

AU - Wang, Peng Hui

AU - Yuan, Chiou Chung

AU - Yen, Yuan Kuei

AU - Yang, Ming Jie

AU - Ng, Heung Tat

AU - Chang, Sheng Ping

AU - Liu, Wei Min

PY - 2003/5/1

Y1 - 2003/5/1

N2 - Background: Laparoscopic bipolar coagulation of uterine vessels (LBCUV) has been employed for women with symptomatic uterine myomas, but its effect on subsequent pregnancy has not been characterized. Methods: Four-hundred and twenty-three women entered the study between March 1999 and December 2001. Of these, 142 women (33.6%) were under the age of 40 years at the time of LBCUV, 36 of whom (36/142, 25.3%) were sexually active without contraception. In a prospective study of 142 patients (3 before and after LBCUV respectively. Volume of the dominant myoma after pregnancy was 46.2 ± 76.7 cm3 (mean ± SD). There was a significant difference in myoma volume before and after LBCUV (P = 0. 002), but no significant difference in myoma volume when comparing post-partum size with post-LBCUV size (P = 0.269). Pregnancy outcomes included seven miscarriages in the first trimester and one premature rupture of membrane (PPROM). Although the other pregnancies were regarded as uncomplicated, only two women were delivered of normal neonates as the other seven pregnancies were terminated secondary to patient request. Conclusions: The pregnancy and term pregnancy rates in sexually active women without contraception were 41.6% (15/36) and 5.6% (2/36) respectively. Because a relatively high rate (7/17, 41.2%) of early miscarriages was observed, we recommend that this procedure be employed only for women who do not desire additional children.

AB - Background: Laparoscopic bipolar coagulation of uterine vessels (LBCUV) has been employed for women with symptomatic uterine myomas, but its effect on subsequent pregnancy has not been characterized. Methods: Four-hundred and twenty-three women entered the study between March 1999 and December 2001. Of these, 142 women (33.6%) were under the age of 40 years at the time of LBCUV, 36 of whom (36/142, 25.3%) were sexually active without contraception. In a prospective study of 142 patients (3 before and after LBCUV respectively. Volume of the dominant myoma after pregnancy was 46.2 ± 76.7 cm3 (mean ± SD). There was a significant difference in myoma volume before and after LBCUV (P = 0. 002), but no significant difference in myoma volume when comparing post-partum size with post-LBCUV size (P = 0.269). Pregnancy outcomes included seven miscarriages in the first trimester and one premature rupture of membrane (PPROM). Although the other pregnancies were regarded as uncomplicated, only two women were delivered of normal neonates as the other seven pregnancies were terminated secondary to patient request. Conclusions: The pregnancy and term pregnancy rates in sexually active women without contraception were 41.6% (15/36) and 5.6% (2/36) respectively. Because a relatively high rate (7/17, 41.2%) of early miscarriages was observed, we recommend that this procedure be employed only for women who do not desire additional children.

KW - Laparoscopic bipolar coagulation of uterine vessels

KW - Laparoscopic surgery

KW - Myoma

KW - Pregnancy

UR - http://www.scopus.com/inward/record.url?scp=0038736700&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038736700&partnerID=8YFLogxK

U2 - 10.1093/humrep/deg200

DO - 10.1093/humrep/deg200

M3 - Article

C2 - 12721187

AN - SCOPUS:0038736700

VL - 18

SP - 1077

EP - 1081

JO - Human Reproduction

JF - Human Reproduction

SN - 0268-1161

IS - 5

ER -