The risk of placental abnormalities increases in the presence of uterine scars due to cesarean delivery or gynecologic procedures such as curettage, myomectomy, and hysteroplasty
(when placenta implants are on the scar area), and also in women with maternal age greater than 35 years and multiparity.
-- Laparoscopic hysteroplasty is an effective alternative to hysterectomy in women with menorrhagia and myomas who want to preserve their uterus, Dr.
A comparison of 33 women who underwent laparoscopic, morcellator-assisted myomectomy and ablation and 108 women who underwent other uterus-sparing procedures that involved hysteroscopy suggests the Moore laparoscopic hysteroplasty procedure is at least as effective and efficient.
The number of myomas removed during the Moore hysteroplasty procedure was the same as in HALM (about 6) but greater than in the LMAM procedure (2.9).
There were no myomas remaining in the Moore hysteroplasty group at the 6-week postoperative ultrasound, compared with 13 in the LMAM group and 3 in the HALM group.