ABSTRACT
The number of women presenting with uterine fibroids requiring uterine preserving surgical interventions, such as a myomectomy, is increasing. Myomectomy, producing a scarred uterus, carries the risk of uterine rupture, mainly after a subsequent pregnancy, and there is also concern about the risk of uterine fibroid recurrence after their removal. Studies have tried to evaluate the impact of several risk factors on the manifestation of these two phenomena, which has produced some suggestions to be followed in order to minimize the incidence of uterine rupture and of uterine leiomyoma recurrence. Some of these preventive considerations are related to obstetrical aspects and anatomical characteristics of the uterine leiomyomas. In addition, the surgical components require equal importance during the perioperative phase of a myomectomy. This chapter summarizes current research by reviewing state-of-the-art literature on these two fundamental concerns of uterine rupture and recurrence following a myomectomy procedure.
