ABSTRACT
Uterine leiomyoma are exceedingly common, and the incidence increases with age. In addition, the incidence of fibroids varies between ethnic groups with a higher prevalence among African American women. Though many women with fibroids are asymptomatic, large leiomyoma or those impinging on the uterine cavity often cause bothersome symptoms and may warrant surgical intervention. Myomectomy is the surgical treatment of choice when approaching symptomatic uterine leiomyoma in women desiring future fertility. Minimally invasive techniques for myomectomy have been developed in more recent decades and have afforded reproductive-aged women suffering from fibroids an opportunity for symptom relief with added benefits over laparotomy of shorter hospital stay, rapid recovery from surgery, decreased adhesion formation, improved cosmesis, and pregnancy outcomes that are equivalent to those observed after laparotomy.
