Myomectomy during caesarean: a retrospective evaluation of 16 cases

Incebiyik, Adnan; Hilali, Neşe Gül; Camuzcuoğlu, Aysun; Vural, Mehmet; Camuzcuoğlu, Hakan

doi:10.1007/s00404-013-3019-1

Cited by 42 publications

(36 citation statements)

References 12 publications

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“…Studies on the safety of removal of myomas ≥5cm during C-section reported no difference between the groups in length of hospital stay, Hb changes and length of operation. 18,19 The mean diameter of myomas in our study was 66.3±30.2 mm. Among the operated patients, 24 (57.1%) had myomas with diameters ≤5 cm, 13 (30.9%) with diameters between >5cm and <10cm, and 5 (11.9%) with diameters ≥10cm.…”

Section: Discussionmentioning

confidence: 53%

Is Caesarean Myomectomy a Safe Procedure? A Comparative Study

Başaranoğlu

Ağaçayak

Deregözü

et al. 2016

Gynecol Obstet Reprod Med

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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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Section: Discussionmentioning

confidence: 53%

Is Caesarean Myomectomy a Safe Procedure? A Comparative Study

Başaranoğlu

Ağaçayak

Deregözü

et al. 2016

Gynecol Obstet Reprod Med

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“…These studies have mostly been retrospective, with only a limited number of them being prospective in design. Cesarean myomectomy appears to be a safe procedure, as shown by retrospective studies involving small numbers of patients (8,17,20,21). Similarly, in a study that evaluated 368 patients with uterine fibroids, 111 patients underwent myomectomy and 257 patients underwent cesarean section only patients were selected for myomectomy using similar criteria as in a previous study.…”

Section: Discussionmentioning

confidence: 92%

Is myomectomy safe during cesarean section in large myomas?

et al. 2015

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“…In fact, recent medical literature, however, indicates that these procedures are probably feasible and reliable if correctly performed, as reported by Incebiyik et al [10]. In their study, the smallest leiomyoma was 5cm, while the largest was 22cm including the patient with 3.300cm 3 fibroid nodule, none of their cases was complicated during uterine repair, only two patients needed blood transfusion after CM.…”

mentioning

confidence: 75%