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[Myomectomy during cesarean section].

A Dimitrov, A Nikolov, G Stamenov

    Akusherstvo I Ginekologiia
    |March 24, 2000
    PubMed
    Summary
    This summary is machine-generated.

    Performing myomectomy during Cesarean section (CS) is feasible, though it may increase hemorrhage risk, particularly with placental disorders. Postoperative recovery was uncomplicated in this study.

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    Area of Science:

    • Obstetrics and Gynecology
    • Reproductive Surgery
    • Uterine Fibroids Management

    Context:

    • Uterine fibroids (myomas) often coexist with pregnancy.
    • Cesarean section (CS) is a common obstetric procedure.
    • Simultaneous myomectomy during CS is an option for managing fibroids during pregnancy.

    Purpose:

    • To evaluate the feasibility of performing myomectomy concurrently with Cesarean section (CS).
    • To assess the impact of myomectomy during CS on intraoperative hemorrhage.
    • To analyze the characteristics of myomas found in pregnant women undergoing CS.

    Summary:

    • This prospective study included 21 cases of myomectomy during CS and 162 controls.
    • Myomas and pregnancy were most common in women over 30, particularly nulliparas (70%).

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  • Myomectomy during CS increased hemorrhage by 10%, with placental disorders being a key factor in severe blood loss.

    • Impact:

    • Myomectomy during CS is possible, even with multiple or large fibroids.
    • The postoperative period following myomectomy during CS was generally uncomplicated.
    • This approach offers a potential solution for managing uterine fibroids in pregnant patients undergoing CS.