The safety and feasibility of laparoscopic myomectomy for symptomatic women desiring to preserve their uterus has been demonstrated by a systematic review. .1When compared to the open surgical approach, laparoscopic myomectomy has a more favorable outcome with regards to hemoglobin drop, need for blood transfusions and duration of hospital stay.2,3,4 Postoperatively, patients who undergo laparoscopic myomectomy suffer less pain, fever and wound complications than open abdominal myomectomy patients. However, no significant differences have been found between minimally invasive approach and laparotomy for blood loss or pain at 24 hours post-operative1,5. Although complications of myomectomy are generally rare, laparoscopic myomectomy may become challenging if intraoperative bleeding occurs, with possible problems of poor visualization and risk of direct injury6. Patient and fibroid characteristics can also affect the complexity of myomectomy7, however no study has assessed the relationship between degree of technical difficulty encountered during surgery and complications rate. Surgical outcomes are determined by complex interactions among a variety of factors and identification of these contributing factors can help provide the patient with tailored information about risks before surgery and minimize complications.

The principal aim of this investigation is to examine both surgical and non-surgical complications that arise within the 30-day postoperative period following myomectomy procedures, whether conducted laparoscopically or through open surgery, and to discern the factors contributing to their occurrence.