Laparoscopic-Assisted Myomectomy during the Second Trimester of Pregnancy

Abstract

<h3>Study Objective</h3> Through this surgical video, we aim to review the literature, indications and a stepwise approach to performing a laparoscopic-assisted myomectomy safely in the second trimester of pregnancy. <h3>Design</h3> Surgical video - case report, laparoscopic technique education and literature review. <h3>Setting</h3> University teaching hospital. <h3>Patients or Participants</h3> Case report of single patient with indication for laparoscopic myomectomy in pregnancy. <h3>Interventions</h3> Surgical management of degenerated, necrotic fibroid in pregnancy. <h3>Measurements and Main Results</h3> Successful surgery and resolution of symptoms with ongoing pregnancy using the techniques described in this video. <h3>Conclusion</h3> Laparoscopic-assisted myomectomy has traditionally been avoided in pregnancy but has several indications and can be performed safely and effectively in select patients.