{"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":1792276704627,"version":"4.4.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Prepregnancy myomectomy is effective for the treatment of infertility or prevention of obstetric complications and is usually performed with laparoscopy. However, pregnancies following myomectomy have risks of obstetric complications, especially in cases with uterine cavity breaches, but the evidence remains unclear. We investigated how uterine cavity breach in laparoscopic myomectomy influenced the occurrence of obstetric complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>One hundred and eighty women who underwent a cesarean section from 2014 to 2020 in pregnancies following laparoscopic myomectomy were included. They were divided into two groups: 25 women in the uterine cavity breach group and 155 in the nonbreach group. Obstetric complications, including placenta accreta spectrum (PAS), uterine rupture, placental malposition, abruption placenta, preterm delivery, threatened premature labor, premature rupture of membranes, and massive intrapartum hemorrhage, were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Multivariate analysis revealed that the frequency of PAS in the breach group (24.0%) was statistically significantly higher than in the nonbreach group (5.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study demonstrated that women who experienced uterine cavity breach in laparoscopic myomectomy had an increased risk of PAS in subsequent pregnancies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_146_21","type":"journal-article","created":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T09:56:53Z","timestamp":1665050213000},"page":"221-223","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":19,"title":["Influence of Uterine Cavity Breach in Laparoscopic Myomectomy on the Risk of Obstetric Complications"],"prefix":"10.4103","volume":"11","author":[{"given":"Shinichiro","family":"Wada","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Fukushi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Ono","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Ota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoko","family":"Tsuzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideto","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20240830","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1111\/jog.13437","article-title":"Myoma and myomectomy: Poor 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disease","volume":"33","author":"Jauniaux","year":"2012","journal-title":"Placenta"},{"key":"R8-6-20240830","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1002\/ijgo.12407","article-title":"FIGO consensus guidelines on placenta accreta spectrum disorders: Epidemiology","volume":"140","author":"Jauniaux","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"key":"R9-6-20240830","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1097\/GRF.0000000000000391","article-title":"The placenta accreta spectrum: Epidemiology and risk factors","volume":"61","author":"Carusi","year":"2018","journal-title":"Clin Obstet Gynecol"},{"key":"R10-6-20240830","doi-asserted-by":"crossref","first-page":"e52893","DOI":"10.1371\/journal.pone.0052893","article-title":"Incidence and risk factors for placenta accreta\/increta\/percreta in the UK: A national case-control study","volume":"7","author":"Fitzpatrick","year":"2012","journal-title":"PLoS One"},{"key":"R11-6-20240830","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.7863\/jum.2008.27.11.1623","article-title":"Placenta accreta: An association with fibroids and Asherman syndrome","volume":"27","author":"Al-Serehi","year":"2008","journal-title":"J Ultrasound Med"},{"key":"R12-6-20240830","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1097\/AOG.0b013e318273695b","article-title":"Risk of uterine rupture and placenta accreta with prior uterine surgery outside of the lower segment","volume":"120","author":"Gyamfi-Bannerman","year":"2012","journal-title":"Obstet Gynecol"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_146_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:16:55Z","timestamp":1787757415000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_146_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_146_21","relation":{},"ISSN":["2213-3070"],"issn-type":[{"value":"2213-3070","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}