surgical performance, uterine cavity was opened in 6%. The median blood loss was 200 mL (I.Q. 100-300 mL). Pregnancy rate was 71% (74/104). We observed 3 (1.3%) early miscarriage and one women required voluntary interruption of pregnancy. The median time to conception after surgery was 62.5 months (I.Q. 50-95 months). In 65 cases (88%) we assisted to term birth (≥37 gestational weeks), while in 3 cases birth was before 37 weeks of gestation (4%). 40 women (58 %) underwent caesarean section (87% elective), 25 (37%) had vaginal delivery and 31 (45%) had operative vaginal delivery. In 25% cases the indication for cesarean section was previous myomectomy and, in 7.5 %, there were placental anomalies. The median blood loss at delivery was 400 mL (I.Q. 262-600 mL), in 15% of cases a severe post-partum hemorrhage occurred (defined as blood loss ≥ 1000 mL). No uterine rupture during pregnancy or delivery occurred. Conclusion: women undergoing isobaric myomectomy have good pregnancy rate and positive obstetric outcomes.
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