A Cross Sectional Analysis of Vaginal Myomectomies [05B]

Abstract

INTRODUCTION: Aborting uterine fibroids are common benign tumors of the uterus that may cause abnormal uterine bleeding and/or pelvic discomfort. Commonly these may be removed in the office or ER however, many cite heavy bleeding as a common complication and advocate that these types of myomas be removed in the OR. The purpose of this case series is to determine the demographics of aborting myomas and common complications. METHODS: A retrospective review of all patients from January 2018-June 2019 undergoing vaginal myomectomy at a large suburban hospital was conducted. The size and location of the leiomyomas were noted as well as any operative complications including blood loss. RESULTS: During this time frame, there was a total number 7739 Gyn cases done of all types. A total number of 10 patients had a vaginal myomectomy. The incidence of this type of case is 0.129%. The median blood loss was 25cc. Nine patients had a blood loss of less than 50cc. One patient with an 8cm fibroid had a 1250cc blood loss and required two units of packed red blood cells. The mean duration of the procedure was 35 minutes. The fibroid size measured via largest diameter ranged from 2 to 11 cm with a median of was 5 cm. CONCLUSION: In this case series, vaginal myomectomies appear to be a safe and effective method of uterine fibroid removal resulting in minimal blood loss. However it appears that for larger myomas, there should be a consideration for removal in the operating room.