Myomectomy during pregnancy: A systematic review

Spyropoulou, Kyriaki; Kosmas, Ioannis; Tsakiridis, Ioannis; Mamopoulos, Apostolos; Kalogiannidis, Ioannis; Athanasiadis, Apostolos; Daponte, Alexandros; Dagklis, Themistoklis

doi:10.1016/j.ejogrb.2020.08.018

Cited by 25 publications

(47 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most frequently reported obstetric complications related to fibroids are: increased rate of spontaneous miscarriages in women with submucosal or intramural fibroids, aseptic necrobiosis, placentation disorders and irregular presentations. A higher rate of cesarean section is observed in pregnant women with fibroids [2,4]. Myomectomy before the term of an active pregnancy is a problem: To observe an expectation until the end of pregnancy or have a interventionist attitude.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, most of the removed myomas were pedicled subserosal or subserosal and fundal. Laparotomy was the main surgical approach (78.4%), however, laparoscopic and vaginal operations have also been reported [4]. Studies by some authors such as Celik and Lopes [5,6] have shown that only 10% of pregnant women with myoma suffer from complications related to the presence of these tumors.…”

Section: Discussionmentioning

confidence: 99%

“…Studies by some authors such as Celik and Lopes [5,6] have shown that only 10% of pregnant women with myoma suffer from complications related to the presence of these tumors. No study shows significant bleeding differences between myomectomy during cesarean section and cesarean section alone or myomectomy alone [2,4,7]. Most authors agree that symptomatic myomas can be treated surgically if needed [8].…”

Section: Discussionmentioning

confidence: 99%

“…Myomectomy during pregnancy has been performed in 55 out of 120 women [13]. Some situations require emergency myomectomies, before the 3rd trimester of pregnancy, namely abdominal pain not responding to medical treatment [4,12], compression of organs such as urinary tract, large vessels with risk of thrombophlebitis and nerve trunks due to large fibroids.…”

Section: Discussionmentioning

confidence: 99%

“…The long-term morbidity of myomectomy during pregnancy is not sufficiently studied but does not appear higher than expected for fertility and complications during pregnancy. Some patients received myomectomy on unknown pregnancies with a favourable outcome [4,14,15]. The usual complications observed with post-operative adhesions, in 90% of cases according to Tulandi [16].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Outcome of Myomectomy for Urinary Complications During the Second Trimenon of Pregnancy: 2 Cases Reports at the University Teaching Hospital of Angre / Abidjan

Victor¹,

Roland²,

Denis³

et al. 2021

JGO

View full text Add to dashboard Cite

Uterine myomas are observed in about 3-12% of pregnant women. These uterine fibroids can affect the outcome of pregnancy. There is an increased risk of spontaneous abortion, irregular fetal presentation, aseptic necrosis, placenta previa, premature birth, caesarean section, peripartum hemorrhage and also compression of nearby organs. Although myomectomy during pregnancy is not recommended, some emergency situations lead to retain this surgical indication. The authors report 2 cases of voluminous uterine myomas (FIGO type VI) that caused mechanical compression of the urinary tract with ureterohydronephrosis during the second trimenon of pregnancy. In our first clinical observation, the presence of fibroid was associated with severe bilateral ureterohydronephrosis, myomectomy was essential before the evolutionary risk towards renal failure. In our reported second case, there was no pain but acute retention of urine that required bladder catheterization. This retention was associated with sub-occlusive symptoms with stopping the materials for two weeks without gas. They benefited from a laparotomic myomectomy before term, with a favourable outcome for the mother and the child. The myomectomy during pregnancy remains exceptional and the evolutionary modalities are unpredictable with an increased risk of haemorrhage which can darken the obstetric prognosis, or even the vital one of the mother-child couple. Close prenatal monitoring is still necessary after the myomectomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Outcome of Myomectomy for Urinary Complications During the Second Trimenon of Pregnancy: 2 Cases Reports at the University Teaching Hospital of Angre / Abidjan

Victor¹,

Roland²,

Denis³

et al. 2021

JGO

View full text Add to dashboard Cite

show abstract

Rapidly progressing ascites in a pregnancy with a massive fibroid: A case report and review of pseudo‐Meigs syndrome

Roecker,

Young,

Han

2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Meigs syndrome is a classic triad of ascites, pleural effusions, and an ovarian fibroma with resolution following excision. Pseudo‐Meigs syndrome presents similarly but is caused by a pelvic mass other than an ovarian fibroma, such as a fibroid. We present a case report of a 33‐year‐old gravida 2 para 0‐0‐1‐0 woman with a massive, pedunculated fibroid who developed rapid onset of ascites and edema beginning at 5 weeks of gestation. Malignant, cardiac, renal, hepatic, and rheumatologic causes were ruled out. Her symptoms resolved following myomectomy and delivery via cesarean. Pseudo‐Meigs syndrome was suspected. Pseudo‐Meigs syndrome is a diagnosis of exclusion and requires surgical management for resolution. Pregnancy may be an inciting factor. Myomectomy may be done safely at the time of cesarean.

show abstract