{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T07:42:46Z","timestamp":1773733366095,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":152,"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":[[2010,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective.<\/jats:italic> To evaluate factors contributing to uterine scar formation after laparoscopic myomectomy (LM) and to estimate whether uterine scarring indicated risk of uterine rupture. <jats:italic>Design.<\/jats:italic> Retrospective study. <jats:italic>Setting.<\/jats:italic> University\u2010affiliated hospital. <jats:italic>Population.<\/jats:italic> A total of 692 patients who underwent second\u2010look laparoscopy (SLL) after LM. <jats:italic>Method.<\/jats:italic> Video\u2010tape recording during SLL to evaluate the conditions of uterine suture wound healing, with univariate and logistic regression analysis. <jats:italic>Main outcome measures.<\/jats:italic> Correlation between scar formation and operative findings at LM. Factors influencing scar formation in 305 patients with an enucleated solitary myoma. <jats:italic>Results.<\/jats:italic> SLL revealed that 628 patients (90.8%) had a normal uterus and 64 patients (9.2%) had a scarred uterus. Deformation of the endometrium found by preoperative imaging and complete myometrial penetration during LM had a positive correlation and the number of enucleated myomas a negative correlation with scar formation. Significant factors associated with scar formation were complete myometrial penetration (odds ratio, 2.53; 95% confidence interval, 1.30\u20134.93; <jats:italic>p<\/jats:italic> = 0.006) and enucleation of a subserosal myoma (odds ratio, 0.23; 95% confidence interval, 0.08\u20130.70; <jats:italic>p<\/jats:italic> = 0.009). Of the 98 patients who delivered, none suffered a uterine rupture regardless of the presence of a uterine scar. <jats:italic>Conclusions.<\/jats:italic> Uterine scar formation after LM correlated with the degree of myometrial penetration. However, the presence of a uterine scar did not appear to influence the delivery outcome.<\/jats:p>","DOI":"10.3109\/00016349.2010.498498","type":"journal-article","created":{"date-parts":[[2010,7,19]],"date-time":"2010-07-19T10:08:49Z","timestamp":1279534129000},"page":"1078-1083","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Evaluation of factors contributing to uterine scar formation after laparoscopic 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