Abstract

We thank you for your interest and letter discussing the results of our recent study evaluating our surgical experience with ulipristal acetate (UPA) and laparoscopic myomectomy [ 1 Luketic L. Shirreff L. Kives S. et al. Does ulipristal acetate affect surgical experience at laparoscopic myomectomy?. J Minim Invasive Gynecol. 2017; 24: 797-802 Abstract Full Text Full Text PDF PubMed Scopus (21) Google Scholar ]. Despite the proven efficacy of UPA on myoma-related symptoms and the reduction of myoma volume, the data on the effect of medical pretreatment during laparoscopic/laparotomic myomectomy are limited. We applaud Ferrero et al [ 2 Ferrero S. Alessandri F. Vellone V.G. Venturini P.L. Leone Roberti Majjiore U. Three month treatment with ulipristal acetate prior to laparoscopic myomectomy of large uterine myomas: a retrospective study. Eur J Obstet Gynecol Reprod Biol. 2016; 205: 43-47 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar ] for adding to our collective experience on the subject [ 2 Ferrero S. Alessandri F. Vellone V.G. Venturini P.L. Leone Roberti Majjiore U. Three month treatment with ulipristal acetate prior to laparoscopic myomectomy of large uterine myomas: a retrospective study. Eur J Obstet Gynecol Reprod Biol. 2016; 205: 43-47 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar ]. Regarding “Does Ulipristal Acetate Affect Surgical Experience at Laparoscopic Myomectomy?”Journal of Minimally Invasive GynecologyVol. 25Issue 3PreviewWe read with interest the recent study by Luketic et al [1] comparing the surgical experience of laparoscopic/robotic myomectomy in patients pretreated with ulipristal acetate (UPA) or who did not receive preoperative treatment. The authors should be congratulated regarding their observation that UPA does not affect myoma consistency during surgery. However, we would like to point out a methodologic concern that has affected the observation on intraoperative blood loss (IBL). Full-Text PDF

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