Objective: Evaluation of laparoscopic myomectomy in infertile patient. Design: Literary review. Setting: Institute for the Care of Mother and Child, Prague, Institute for Postgraduate Medical Education, Prague. Methods: Information and results of laparoscopic myomectomy in infertile patient were assessed and analysed. Results: Laparoscopic myomectomy in infertile patient is one of the most common surgical procedurs. There are several complications after this procedure – adhesion formation, bleeding and uterine rupture during following pregnancy. The incidence of adhesion formation after laparoscopic myomectomy especially in case of intramural and deep subserosal fi broids of posterior uterine wall is high, almost in 60-90%. The uterine rupture following myomectomy represents only 2% of all uterine ruptures in pregnancy. Conclusions: The laparoscopic approach in uterine fi broids treatment has been clearly established. The appropriate surgical management of uterine defect is mandatory. This approach is the best prevention of postoperative complications – adhaesions and uterine rupture.

        Key words: laparoscopy, uterine fi broids, infertility, adhaesions, pregnancy, uterine rupture