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[Leiomyomas in pregnancy].
Teresa Pajszczyk-Kieszkiewicz1, Wojciech Kazimierak, Waldemar Lech
1Kliniki Patologii Ciazy IGP AM w Łodzi.
Ginekologia Polska
|August 3, 2002
Summary
Myomectomy during pregnancy or cesarean delivery is a safe procedure for managing uterine fibroids. Proper surgical techniques and indications ensure positive outcomes for pregnant patients with leiomyomas.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
- Surgical Oncology
Context:
- Uterine leiomyomas (fibroids) are common in pregnant women.
- Management of fibroids during pregnancy presents unique challenges.
- Surgical intervention for fibroids during pregnancy requires careful consideration.
Purpose:
- To report on the management of uterine leiomyomas diagnosed during pregnancy.
- To present diagnostic methods, indications, contraindications, and surgical techniques for myomectomy in pregnant patients.
- To evaluate the safety and outcomes of myomectomy performed during pregnancy and cesarean delivery.
Summary:
- A retrospective study of 185 pregnant women with leiomyomas between 1991-2000.
- Myomectomy was performed during pregnancy in 26 women, during cesarean section in 55 women, and leiomyomas were incidentally found and removed during cesarean section in 104 women.
- The study details diagnostic approaches, surgical techniques, and patient selection for myomectomy.
Impact:
- Myomectomy during pregnancy and cesarean delivery is a safe procedure when indications and surgical techniques are appropriate.
- This study provides evidence supporting the safety of surgical management for uterine fibroids in pregnant individuals.
- Findings can inform clinical decision-making for obstetricians and gynecologists managing pregnant patients with leiomyomas.