RECURRENCE OF LEIOMYOMA AFTER LAPAROSCOPIC MYOMECTOMY

The puprose of work is to assess recurrence of leiomyoma after laparoscopic myomectomy and evaluate predictive factors of recurrence. 88 patients were observed after laparoscopic myomectomy with mean follow-up of 41.3 months (from 7 to 85 months). Recurrence was observed in 17 patients (19,3%). The mean time before recurrence was 21.2 months (range 4–60 months). 4 women (4.5%) required reoperation. The cumulative recurrence range was 13.6% at 2 years and 19.3% at 5 years. However, minimally invasive organpreserving character of operation justifies intervention even in case of high risk of development of recurrence of leiomyoma. Less than 5.0% of patients after laparoscopic myomectomy require repeated operation concerning recurrence of disease.