Cesarean Myomectomy: Is it a Safe Procedure?

  • Nuri Peker
  • Ahmet Demir
Keywords: Cesarean section, myoma, myomectomy, pregnancy

Abstract

Objective: To determine whether myomectomy during cesarean section causes an increase in intraoperative and postoperative complications. Materials and methods: A total of 55 patients who had undergone myomectomy during cesarean and a total of 55 patients who undergone only cesarean section in our clinic between January 2010 and December 2013 were retrospectively reviewed. Results: Mean change in hemoglobin level was 1.72±0.56 and 1.59±0.63 in the patients that underwent cesarean myomectomy and the patients that underwent cesarean section only, respectively, and no significant difference was found between the two groups. The incidence of hemorrhage was 5.44% and 5.35%, respectively, and no hysterectomy was required in any patient in both groups. The mean length of postoperative stay was 2.26±0.57 and 2.089±0.34 days, respectively, and no significant difference was found. Blood transfusion was required in 6 patients, with 3 patients in each group. Conclusion: Myomectomy during caesarean section is a safe procedure and does not increase the incidence of intraoperative and postoperative complications.

References

Tinelli A, Malvasi A, Mynbaev OA, et al. The surgical outcome of intracapsular cesarean myomectomy. A match control study. J Matern Fetal Neonatal Med 2014; 27: 66-71

Shiota M, Kotani Y, Ami K, et al. Uterus-sparing myomectomy for uterine pyomyoma following cesarean section. Taiwan J Obstet Gynecol. 2013; 52: 140-1.

Song D, Zhang W, Chames MC, et al. Myomectomy during cesarean delivery. Int J Gynaecol Obstet. 2013; 121: 208-13.

Burton CA, Grimes DA, March CM. Surgical management of leiomyomata during pregnancy. Obstet Gynecol. 1989; 74:707-9.

Exacoustòs C, Rosati P. Ultrasound diagnosis of uterine myomas and complications in pregnancy. Obstet Gynecol. 1993; 82:97-101.

Ehigiegba AE, Ande AB, Ojobo SI, Myomectomy during cesarean section. Int J Gynaecol Obstet. 2001; 75: 21-5.

Roman AS, Tabsh KM. Myomectomy at time of cesarean delivery: a retrospective cohort study. BMC Pregnancy Childbirth. 2004; 16; 4:14.

Brown D, Fletcher HM, Myrie MO, et al. Caesarean myomectomy--a safe procedure. A retrospective case controlled study. J Obstet Gynaecol. 1999; 19: 139-41.

Hassiakos D, Christopoulos P, Vitoratos N, et al. Myomectomy during cesarean section: a safe procedure? Ann N Y Acad Sci. 2006; 1092:408-13.

Park BJ, Kim YW. Safety of cesarean myomectomy. J Obstet Gynaecol Res. 2009; 35:906-1

Published
2017-09-30
Section
Original Research