{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T22:38:24Z","timestamp":1792276704840,"version":"4.4.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T00:00:00Z","timestamp":1672012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["PI20\/01368"],"award-info":[{"award-number":["PI20\/01368"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Our aim was to study the advantages, complications and obstetrical outcomes of laparoscopic myomectomy (LM) compared with abdominal myomectomy (AM). We conducted a retrospective cohort study at La Paz University Hospital that included LMs and AMs performed between 2012 and 2018, analyzing 254 myomectomies (142 AMs [55.7%] and 112 LMs [43.9%]). The mean number of fibroids was 1.8\u2009\u00b1\u20091.5 and 3\u2009\u00b1\u20092.9 for the LM and AM groups, respectively (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.006). The mean size of the largest myoma was 7.6\u2005cm\u2009\u00b1\u20092.7\u2005cm and 10.2\u2005cm\u2009\u00b1\u20095.4\u2005cm for the LM and AM groups, respectively (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). LMs were associated with longer surgical times (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001) and shorter hospitalizations (<jats:italic>p<\/jats:italic>\u2009=\u20090.001). There were no significant differences in the intraoperative and postoperative complication rates (<jats:italic>p<\/jats:italic>\u2009=\u20090.075 and <jats:italic>p<\/jats:italic>\u2009=\u20090.285 for LM and AM, respectively). The subsequent pregnancy rate was higher for the LM group (30.8% vs. 16.8%, <jats:italic>p<\/jats:italic>\u2009=\u20090.009), with a vaginal delivery rate of 69% and no cases of uterine rupture.<\/jats:p>","DOI":"10.3389\/fsurg.2022.997078","type":"journal-article","created":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T13:46:18Z","timestamp":1672062378000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":18,"title":["Comparison of surgical and obstetric outcomes in women with uterine leiomyomas after laparoscopic vs. abdominal myomectomy: A single-center cohort study"],"prefix":"10.3389","volume":"9","author":[{"given":"Pol\u00e1n","family":"Ord\u00e1s","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Spagnolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda 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