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Can myomectomy be performed during pregnancy?
Cetin Celik1, Ali Acar, Nedim Ciçek
1Department of Obstetrics and Gynecology, Selçuk University Faculty of Medicine, Konya, Turkey. Jalecelik@hotmail.com
Gynecologic and Obstetric Investigation
|April 19, 2002
Summary
Myomectomy during pregnancy is a viable option for managing severe pain caused by uterine fibroids (myomas). This surgical procedure can be safely performed when necessary, with careful monitoring throughout gestation.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Obstetrics
Background:
- Uterine fibroids (myomas) can cause significant complications during pregnancy, including severe pain.
- Surgical intervention for myomas during pregnancy is often considered only in specific, severe cases.
Purpose of the Study:
- To assess the safety, efficacy, and outcomes of myomectomy performed during pregnancy.
- To evaluate complications and the fetal and neonatal results following intra-pregnancy myomectomy.
Main Methods:
- A case series of five pregnant women with symptomatic myomas requiring surgery.
- Intraoperative details including duration and blood loss were recorded.
- Post-operative monitoring included regular ultrasonography and cardiotocography, with delivery via Cesarean section.
Main Results:
- Myomectomy was performed at a median gestational age of 17.8 weeks.
- The average myoma size was 14.0 cm, with an average of 2.8 fibroids removed per patient.
- Mean operative time was 40 minutes with an average blood loss of 280 ml.
Conclusions:
- Myomectomy during pregnancy is a feasible surgical option when indicated for severe symptoms.
- The procedure can be safely undertaken with careful patient monitoring.
- Further research may be warranted to explore long-term outcomes.