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Uterine myomectomy in pregnant women
S De Carolis1, G Fatigante, S Ferrazzani
1Dipartimento di Ostetricia e Ginecologia, Università Cattolica del Sacro Cuore, Roma, Italia. acaruso@katamail.com
Objective:
To determine whether myomectomy during pregnancy in selected patients improves outcome.
Methods:
Retrospective analysis of 18 patients who underwent myomectomy between the 6th and 24th week of gestational age. Surgical management of tumors was required on the basis of the characteristics of the myomas and symptoms. The dimensions and site of myomas, symptoms of the patients, time and mode of delivery, and pregnancy outcome were analyzed.
Results:
One woman was lost to follow-up, and one suffered a miscarriage. The remaining 16 patients delivered healthy babies between the 36th and 41st week; 14 delivered by cesarean section, and 2 vaginally.
Conclusion:
We suggest that myomectomy during pregnancy may be considered safe in selected patients. Moreover, it permits good pregnancy outcome with healthy babies delivered at term.