Is Caesarean Myomectomy a Safe Procedure? A Comparative Study

Authors

  • Serdar Başaranoğlu Fatih University Faculty of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Elif Ağaçayak Dicle University Faculty of Medicine Department of Obstetrics and Gynecology, Diyarbakır
  • Ayşegül Deregözü Bahçelievler State Hospital Obstetrics and Gynecology, Istanbul
  • İlknur İnegöl Gümüş Fatih University Faculty of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Mustafa Acet Medipol University Faculty of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Talip Gül Dicle University Faculty of Medicine Department of Obstetrics and Gynecology, Diyarbakır

DOI:

https://doi.org/10.21613/GORM.2016.86

Keywords:

Pregnancy, Cesarean, Myomectomy, Morbidity

Abstract

OBJECTIVE: Uterine myomas are the most common benign pelvic tumours observed during the reproductive period.Increased risks of haemorrhage and postoperative morbidity lead professionals to avoid myomectomy at the time of Cesarean (C-section). The present study retrospectively analysed the data of patients who had undergone C-section only and those that had undergone C-section and simultaneous myomectomy.

STUDY DESIGN: The data of 42 patients (Group 1) who had underwent caesarean myomectomy and of 50 patients underwent C-section only (Group 2) out of 92 patients that had been taken into C-section on the basis of obstetric indications were retrospectively analysed in this study. The relevant patient data were recorded with the inclusion of demographic data, gestational week, and preoperative and postoperative laboratory findings. Types, locations and sizes (the largest diameter) of individual myomas were identified and noted.

RESULTS: The mean diameter of myomas was 66.3±30.2 mm. Ten patients that had underwent caesarean myomectomy (23.8%) developed a need for intensive care. No statistically significant difference was found in laboratory parameters between Group 1 and Group 2.

CONCLUSION: Caesarean myomectomy, when performed by experienced obstetricians, does not lead to a significant increase in maternal morbidity and mortality. Although the short-term effects of this procedure are known, there is a need for the conduct of more comprehensive studies to establish its longterm effects on fertility or how it will affect the next pregnancy processes.

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Published

2016-04-29

How to Cite

1.
Başaranoğlu S, Ağaçayak E, Deregözü A, Gümüş İlknur İnegöl, Acet M, Gül T. Is Caesarean Myomectomy a Safe Procedure? A Comparative Study. Gynecol Obstet Reprod Med [Internet]. 2016Apr.29 [cited 2021Mar.5];22(1):1-4. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/86

Issue

Section

Obstetrics; Maternal Fetal Medicine and Perinatology

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