Reply of the Author: Endoscopic loops for laparoscopic myomectomy

LETTER TO THE EDITOR Reply of the Author: I have read the Letter to the Editor from Gambadauro and Magos carefully. I would like to answer their comments about our article. Regarding the use of vasopressin during laparoscopic myomectomy: the use of vasopressin during myomectomy (including laparoscopic and laparotomy) is a very common method in our department and in many other hospitals in China. In our opinion, the use of vasopressin is a safe method to reduce myometrial bleeding. Each patient had an electrocardiogram, pulsed Doppler echocardiography, and blood pressure check before surgery, and only when the results of these examinations were normal was the vasopressin used. In addition, before injecting the vasopressin, we always confirmed that the needle was not in a blood vessel, so that intravasation could be avoided. Regarding the conception time after operation: we currently are conducting a study on the pregnancy results after laparoscopic

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myomectomy in a larger population sample. In this study, we want to compare the results of pregnancies when patients were pregnant 1 year, 1.5 years, and >2 years after laparoscopic myomectomy. This is why we recommend that the relatively young patients can be pregnant >2 years after operation. We also obtained each patient’s agreement for this study. FuJie Zhao, M.D., Ph.D. Obstetrics and Gynecology Department Shengjing Hospital China Medical University Shen Yang City, People’s Republic of China November 12, 2010 doi:10.1016/j.fertnstert.2010.11.043

Fertility and Sterility
Vol. 95, No. 2, February 2011 Copyright ª2011 American Society for Reproductive Medicine, Published by Elsevier Inc.

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