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Removal of uterine fibroids during cesarean section: a difficult therapeutic decision
Y Simsek1, S Celen, N Danisman
1Department of Obstetrics and Gynecology, Inonu University Faculty of Medicine, Malatya, Turkey. dryavuzsimsek@gmail.com
Purpose Of Investigation:
Myoma excision during cesarean delivery has traditionally been discouraged, however controversy persists among studies of myomectomy being performed during cesarean section. In this study, medical records of patients who underwent cesarean section our institution were evaluated retrospectively.
Methods:
A total of 70 cases of cesarean myomectomy done during this period were included (group 1) and compared with the patients who underwent cesarean section alone (group 2).
Results:
Mean surgical time of the myomectomy group was 58.1 +/- 23 minutes which was significantly increased (p < 0.01). Mean postoperative hemoglobin value was 9.6 +/- 1.5 in the myomectomy group and 10.8 +/- 1.01 in controls (p = 0.01). Length of hospital stay was significantly longer in the myomectomy group (p < 0.05).
Conclusion:
This study shows that myomectomy during cesarean section is a feasible procedure without any serious complications. The procedure is related with increased blood loss that does not require blood transfusion.
