Vaginal myomectomy: Feasibility and evaluation of the risk of postoperative adhesion

Objectives. - The objectives of this series are to evaluate the results of vaginal myomectomy and to assess the postoperative adhesion risk. Methods. - It was a prospective observational study of fifty patients. All patients underwent a vaginal myomectomy, followed six months after laparoscopy to assess and treat postoperative adhesions. Results. - Myomectomies were performed via an anterior, posterior and mixed colpotomy in 42 %, 54 and 4 % of the cases, respectively. Laparoconversion was necessary in three cases (6 %). Laparoscopic evaluation was performed in 24 patients (48 %). adhesions were present in 14 cases (58.33 %); the adhesions did not affect the Fallopian tubes and ovaries. Conclusion. - Vaginal myomectomy was feasible, not limited to single myomectomy this which is in agreement with previously published series. Post adhesion risk seems weaker and does not concern the appendices, but this requires to be confirmed. (C) 2020 Elsevier Masson SAS. All rights reserved.