Myomectomy during cesarean section

To evaluate the outcome of myomectomy during cesarean section and to compare it with a control group. Using a retrospective case-control design; 40 patients who underwent myomectomy at time of cesarean delivery were compared with the control group consisted of 80 patients with myomas who underwent c...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2005-05, Vol.89 (2), p.90-93
Main Authors: Kaymak, O., Ustunyurt, E., Okyay, R.E., Kalyoncu, S., Mollamahmutoglu, L.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Case-Control Studies
Cesarean Section
Electrocoagulation
Female
Gynecology. Andrology. Obstetrics
Hemorrhage
Humans
Leiomyoma - surgery
Length of Stay
Medical sciences
Myomectomy
Postoperative Complications
Pregnancy
Pregnancy Complications, Neoplastic - surgery
Retrospective Studies
Uterine Hemorrhage - etiology
Uterine Neoplasms - surgery
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Summary:To evaluate the outcome of myomectomy during cesarean section and to compare it with a control group. Using a retrospective case-control design; 40 patients who underwent myomectomy at time of cesarean delivery were compared with the control group consisted of 80 patients with myomas who underwent cesarean delivery alone. The mean size of fibroids removed was 8.1±4.7 cm (range, 3–25 cm). In control group it was 5.7±2.7 cm (range, 2–14 cm). The incidence of hemorrhage in the study group was 12.5% as compared with 11.3% in the control group ( p>0.05). There was also no significant differences in the incidence of postoperative fewer and frequency of blood transfusion between myomectomy and control groups ( p>0.05). Myomectomy during cesarean section is not always a hazardous procedure and it can be performed without significant complications by experienced obstetricians.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2004.12.035