{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:41:07Z","timestamp":1781008867050,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,7,20]],"date-time":"2011-07-20T00:00:00Z","timestamp":1311120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective.<\/jats:italic> To describe fecundity after robot\u2010assisted laparoscopic myomectomy for deep intramural myomas. <jats:italic>Design.<\/jats:italic> Prospective observational study. <jats:italic>Setting.<\/jats:italic> University hospital. <jats:italic>Population.<\/jats:italic> Women undergoing robot\u2010assisted laparoscopic myomectomy. <jats:italic>Methods.<\/jats:italic> Expanding on a previous prospective feasibility study, 31 consecutive women in whom a robot\u2010assisted laparoscopic myomectomy was performed between April 2006 and July 2010 were included. The women, of whom 14 had known infertility, were selected for having symptomatic, deep intramural myomas with a possible impact on fertility. Using a prospective protocol, relevant peri\u2010operative and follow\u2010up data were retrieved. <jats:italic>Main Outcome Measures.<\/jats:italic> Fertility and pregnancy outcome. <jats:italic>Results.<\/jats:italic> The 31 women included had a median age of 35years (range 28\u201342years) and median body mass index of 22.0kg\/m<jats:sup>2<\/jats:sup> (range 20.1\u201324.7kg\/m<jats:sup>2<\/jats:sup>). Fifteen (68%) of the 22 women with an active wish of conceiving had become pregnant at a median time of 10months after surgery. A total of 18 pregnancies occurred, resulting in three miscarriages, two terminated pregnancies, 10 successful term deliveries and three ongoing pregnancies. The subgroup of 14 women with a known but otherwise unexplained infertility had a similar pregnancy rate (69%) and of those, 55% conceived naturally. The women who conceived naturally were on average eight years younger than the women becoming pregnant after in vitro fertilization, and all miscarriages occurred in an in vitro fertilization pregnancy. <jats:italic>Conclusions.<\/jats:italic> In women with symptomatic, deep intramural myomas and either otherwise unexplained infertility or myomas with a possible effect on conception, the pregnancy rate following robot\u2010assisted laparoscopic myomectomy was 68%.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2011.01207.x","type":"journal-article","created":{"date-parts":[[2011,6,6]],"date-time":"2011-06-06T16:47:00Z","timestamp":1307378820000},"page":"972-977","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Pregnancy following robot\u2010assisted laparoscopic myomectomy in women with deep intramural 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