Evaluation of Myomectomy During Cesarean Section: A Tertiary Center Experience
Öz
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.
Anahtar Kelimeler
pregnancy, myoma, cesarean myomectomy, tertiary center
Etik Beyan
Ethics Committee number: 2022/64
Kaynakça
- Stein K, Ascher-Walsh C. A comprehensive approach to the treatment of uterine leiomyomata. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine: A Journal of Translational and Personalized Medicine 2009; 76(6), 546.
- Garg P, Bansal R. Cesarean myomectomy: a case report and review of the literature. Journal of medical case reports 2021; 15(1), 193.
- Perez-Roncero GR, Lopez-Baena MT, & Ornat L. Uterine fibroids and preterm birth risk: a systematic review and meta-analysis [published online ahead of print, JUL 6]. J. Obstet. Gynecol. Res 2020; 10, 1111.
- González VG, Moreta A H, Triana A. M. et al. Prolapsed cervical myoma during pregnancy. European Journal of Obstetrics & Gynecology and Reproductive Biology 2020; 252, 150-154.
- Spyropoulou K, Kosmas I, Tsakiridis I, Mamopoulos A, Kalogiannidis I, Athanasiadis A, et. al. Myomectomy during pregnancy: a systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology 2020; 254, 15-24.
- Mitro SD, Peddada S, Chen Z, Louis GMB, Gleason JL, Zhang C, et. al. Natural history of fibroids in pregnancy: National institute of child health and human development fetal growth studies-Singletons cohort. Fertility and sterility 2022; 118(4), 656-665.
- Senturk MB, Polat M, Doğan O, Pulatoğlu Ç, Yardımcı OD, Karakuş R, at. al. Outcome of cesarean myomectomy: is it a safe procedure?. Geburtshilfe und Frauenheilkunde 2017; 77(11), 1200-1206.
- Ehigiegba AE, Ande AB, & Ojobo SI. Myomectomy during cesarean section. International Journal of Gynecology & Obstetrics 2001; 75(1), 21-25.
- Kwawukume EY. Myomectomy during cesarean section. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2002; 76(2), 183-184.
- Sparic R, Malvasi A, & Tinelli A. Analysis of clinical, biological and obstetric factors influencing the decision to perform cesarean myomectomy. Ginekologia Polska 2015; 86(1).