Evaluatıon of Myomectomy Durıng Cesarean Sectıon: A Tertıary Center Experıence

Year 2024, Volume: 34 Issue: 5, 708 - 713, 30.10.2024

Özlem Polat Bozbay , Dorşin Sancar Arslan , Reyhan Gündüz , Nizamettin Bozbay

https://doi.org/10.54005/geneltip.1523994

Abstract

Abstract:
Aim: The study aims to investigate the outcomes of patients who underwent myomectomy during cesarean section in our tertiary center.
Material and method: This study was conducted between January 1, 2015 and May 31, 2022. The patients included in the study were divided into three groups: patients with myoma uteri and pregnancy who underwent cesarean section and simultaneous myomectomy (Group 1), patients with myoma uteri and pregnancy who underwent cesarean section only (Group 2), and pregnant patients without myoma who underwent cesarean section only (Group 3). The groups were compared in terms of preoperative and postoperative results.
Results: A total of 138 patients, 56 40.6% (Group 1), 31 22.5% (Group 2), 51 37% (Group 3) were included in the study. When compared according to demographic characteristics, Group 1 and Group 2 had significantly higher age and significantly lower gravida and parity (p: <0.001, p: 0.048, p: 0.005, respectively). There was no significant difference between Group 1 and Group 2 in terms of myoma size and number (p: 0.162, p: 0.228, respectively). Operative time, laboratory results, and blood transfusion requirements were similar between the groups.
Conclusion: Although myomectomy can be performed during a cesarean section by an experienced surgeon in a tertiary center, it should be noted that complications may arise and that precautions must, therefore, be taken.

Keywords

pregnancy, myoma, cesarean myomectomy, tertiary center

Ethical Statement

Ethics Committee number: 2022/64

Supporting Institution

Yoktur

Thanks

Yoktur

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