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Updated: Aug 6, 2026

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Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
[Morphologic pattern of uterine myomas enucleated at cesarean section]
Barbara Bałoniak1, Piotr Jasiński, Krzysztof Drews
1Kliniki Perinatologii Katedry Perinatologii i Ginekologii Akademii Medycznej w Poznaniu.
Ginekologia Polska
|August 3, 2002
Summary
This study reviewed 101 women who underwent myomectomy during cesarean delivery over 10 years. The most common secondary changes observed in leiomyomata were hypertrophy and necrosis.
Area of Science:
- Obstetrics and Gynecology
- Surgical Pathology
Context:
- Myomectomy during cesarean delivery is a common surgical procedure.
- Leiomyomata (fibroids) can necessitate surgical intervention during cesarean sections.
Purpose:
- To review a decade of experience with surgical management of leiomyomata during cesarean delivery.
- To analyze the characteristics of myomas removed concurrently with cesarean sections.
Summary:
- 101 women underwent myomectomy at cesarean delivery (0.89% of cesarean sections).
- In most cases, a single myoma was removed (90 cases); multiple myomas were removed in 11 cases.
- Pathological analysis revealed hypertrophy in 59 myomas and necrosis in 52 myomas.
Impact:
- Highlights the incidence and pathological findings of myomectomy performed during cesarean delivery.
- Provides data on secondary changes in leiomyomata, specifically hypertrophy and necrosis.
- Informs clinical practice regarding the management of uterine fibroids during pregnancy and childbirth.

