Hilliard E. Miller

A survey of a series of myomectomies, with a follow-up☆

Abstract 1. 1. Myomectomy is a safe and conservative treatment for fibroids, as represented by a mortality of 0.77 per cent in 128 cases. 2. 2. This procedure offers almost complete relief from dysmenorrhea and menorrhagia which result from the presence of fibroids. 3. 3. The reasonable expectancy of pregnancy in young women under thirty-eight years of age, following myomectomy, according to our series is 33⅓ per cent. 4. 4. The percentage of recurrence of fibroids after myomectomy was 3.08 per cent in our experience. 5. 5. Myomectomy during pregnancy is only indicated where definite necrobiotic processes are present. 6. 6. In the series analyzed, acute obstruction of the bowel occurred in 1.5 per cent of the patients during the hospital stay; 0.75 per cent acute obstruction occurred subsequently as a complication of pregnancy, and 0.75 per cent chronic partial obstruction.