To assess the intra- and postoperative results of cesarean myomectomy.
A retrospective study was conducted to collect the results of cesarean myomectomy procedures performed in our tertiary center between June 2013 and December 2018. The subjects were 2219 pregnant women undergoing cesarean section at these units.
A total of 2219 scheduled patients undergoing CS were included in the present study. Sixty-five patients have undergone intramural myomectomy during CS; 82 patients have had subserosal myomectomy during CS. No statistically significant differences were found between the three groups in changes of preoperative Hb, postoperative Hb, mean Hb and length of hospital stay. Operation times were significantly longer in both intramural and subserosal myomectomy groups (45.23 ± 8.498 vs. 39.02 ± 6.824 vs. 32.14 ± 5.423 min, p 0.01). Only in the intramural myomectomy group, two patients were subjected to blood transfusion (3%). Assessment of intramural myomectomy patients was carried out by taking 5 cm as the cutoff value. No statistical differences were found between the two groups in terms of mean Hb change, operation time, length of hospital stay. In the group with intramural myomectomy larger than 5 cm, two (15.38%) patients needed a blood transfusion.
Cesarean myomectomy operation performed by experienced surgeons has no adverse effects other than lengthening the duration of operation and can be safely implemented.
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Lippman SA, Warner M, Samuels S, et al. Uterine fibroids and gynecologic pain symptoms in a population-based study. Fertil Steril. 2003;80(6):1488–94.
Rosati P, Exacoustòs C, Mancuso S. Longitudinal evaluation of uterine myoma growth during pregnancy. A sonographic study. J Ultrasound Med. 1992;11(10):511–5.
Vitale SG, Tropea A, Rossetti D, et al. Management of uterine leiomyomas in pregnancy: review of literature. Updates Surg. 2013;65(3):179–82.
Ulubay M, Öztürk M, Fidan U, et al. Skin incision lengths in caesarean section. Cukurova Med J. 2016;41(1):82–6. https://doi.org/10.17826/cutf.147190.
Hassiakos D, Christopoulos P, Vitoratos N, et al. Myomectomy during cesarean section: a safe procedure? Ann N Y Acad Sci. 2006;1092:408–13.
Song D, Zhang W, Chames MC, et al. Myomectomy during cesarean delivery. Int J Gynecol Obstet. 2013;121(3):208–13.
Tinelli A. Myoma in pregnancy and cesarean myomectomy: a matter of debate for a long time. Int J Gynecol Clin Pract. 2014;1(104):2.
Ortac F, Gqngfr M, Sfnmezer M. Myomectomy during cesarean section. Int J Gynecol Obstet. 1999;67:189–90.
Kwawukume EY. Myomectomy during cesarean section. Int J Gynecol Obstet. 2002;76:183–4.
Roman AS, Tabsh KMA. Myomectomy at time of cesarean delivery: a retrospective cohort study. BMC Pregnancy Childbirth. 2004;4:14–7.
Cunningham FG, Leveno KJ, Bloom SL, et al. Abnormalities of the reproductive tract. Williams obstet. 2005;949:962.
Ludmir J, Stubblefield PG. Surgical procedures in pregnancy. Obstetrics: normal and problem pregnancies. 2002, p. 607.
Incebiyik A, Hilali NG, Camuzcuoglu A, et al. Myomectomy during caesarean: a retrospective evaluation of 16 cases. Arch Gynecol Obstet. 2014;289(3):569–73.
Ozcan A, Kopuz A, Turan V, et al. Cesarean myomectomy for solitary uterine fibroids: is it a safe procedure. Ginekol Polska. 2016;87:54–8. https://doi.org/10.17772/gp/57833.
Ehigiegba AE, Ande AB, Ojobo SI. Myomectomy during cesarean section. Int J Gynecol Obstet. 2001;75(1):21–5.
Kaymak O, Ustunyurt E, Okyay RE, et al. Myomectomy during cesarean section. Int J Gynecol Obstet. 2005;89:90–3.
During this study, no financial or spiritual support was received neither from any pharmaceutical company that has a direct connection with the research subject, nor from a company that provides or produces medical instruments and materials which may negatively affect the evaluation process of this study.
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Askın Evren Guler, MD Obstetrics and Gynecology Clinic, Koru Ankara Hospital, Ankara, Turkey; Zeliha Çiğdem Demirel Guler, MD Obstetrics and Gynecology Clinic, Koru Ankara Hospital, Ankara, Turkey; Mehmet Ferdi Kinci, MD Obstetrics and Gynecology Department, Muğla Sıtkı Koçman University Education and Research Hospital, Muğla, Turkey; Muhittin Tamer Mungan, Professor Obstetrics and Gynecology Clinic, Koru Ankara Hospital, Ankara, Turkey.
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Guler, A.E., Guler, Z.Ç.D., Kinci, M.F. et al. Myomectomy During Cesarean Section: Why Do We Abstain From?. J Obstet Gynecol India (2020) doi:10.1007/s13224-019-01303-6
- Myoma uteri
- Cesarean section