Fertility following laparoscopic uterine myomectomy in an @entity249 XXXX treated for 10 years. Case report.

@entity1 @entity42 @entity249 @entity1868
The presence of @entity1868 in the uterus is a relevant factor in @entity249 cases. @entity1868 may reduce contractility of the uterus, hinder migration of sperm and vascular changes within @entity1868 themselves interfere with embryo implantation. The paper presents the case of a @entity1 with over 10-year-history of @entity249 treatment diagnosed with @entity1868 of the uterus. The medical records revealed that the @entity1 had undergone laparoscopy and laparotomy due to the left @entity42 and had been subjected to hysteroscopic removal of the uterine partition twice. The @entity1 took part in the IVF programme twice--without success. At our Department the @entity1 underwent laparoscopic myomectomy during which 5 @entity1868 were removed: 4 subserous ones, 1.5-2 cm in diameter and an intramural one, 6 cm in diameter. The sites of the biggest @entity1868 were laparoscopically sewn putting in 3 single sutures. In her next cycle the @entity1 spontaneously conceited. The pregnancy was without serious complications and at 38 weeks was terminated by Caesarian section. The @entity1 was delivered in good general condition (10 Apgar points) and weighted 3,360 g. On Caesarian section no uterine dehiscence following laparoscopic myomectomy was observed.
