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Related Experiment Video

Updated: May 13, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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Myomectomy during cesarean delivery.

Dianrong Song1, Wei Zhang, Mark C Chames

  • 1Department of Obstetrics and Gynecology, Second Affiliated Hospital of Tianjin, University of Traditional Chinese Medicine, Tianjin, China. songdr58@126.com

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|March 20, 2013
PubMed
Summary

Cesarean myomectomy appears safe for women with leiomyomas, showing no significant differences in blood loss or operative time compared to standard cesarean delivery. However, more high-quality research is needed to confirm these findings.

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Published on: September 12, 2025

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Safety
  • Reproductive Health

Background:

  • Optimal management of uterine fibroids (leiomyomas) during cesarean delivery remains uncertain.
  • This study addresses the safety concerns surrounding myomectomy performed concurrently with cesarean birth.

Purpose of the Study:

  • To evaluate the safety of performing myomectomy during cesarean delivery.
  • To compare outcomes between women who underwent cesarean myomectomy and those who had a cesarean delivery alone.

Main Methods:

  • A systematic review and meta-analysis of studies published before June 30, 2012.
  • Searched PubMed, MEDLINE, EMBASE, and Cochrane Library for relevant case-control studies.
  • Independent data extraction and quality assessment by two authors.

Main Results:

  • Nine studies involving 1,082 women were analyzed.
  • Cesarean myomectomy showed a non-significant increase in hemoglobin drop (0.30 g/dL) and operative time (4.94 minutes).
  • Fever incidence was comparable between groups; no hysterectomies occurred.

Conclusions:

  • Cesarean myomectomy may be a viable option for select women with leiomyomas.
  • The current evidence is limited by the low quality of included studies, precluding definitive conclusions.