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Griffiths A, et al. - The review assesses the differing surgical methods for treating fibroids with regard to improving fertility outcomes with minimal side effects. Twenty three studies were identified but only one study with 131 women was a randomised controlled trial. There was no difference in the fertility outcome between women who had fibroids removed by laparotomy compared to laparoscopy. There were some non-fertility benefits noted by removal of fibroids by laparoscopy compared to laparotomy

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