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Myomectomy during cesarean section: A retrospective cohort study
Waleed El-Refaie1, Mohamed Hassan2, Mohamed Sayed Abdelhafez2
1Department of Obstetrics and Gynecology, Port Said University, Port Said, Egypt, Egypt.
Performing myomectomy during cesarean section (CS) is safe for pregnant women with uterine fibroids. While it may extend surgery and hospital stay, it avoids a separate operation for fibroid removal.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Uterine fibroids are common in pregnancy.
- Surgical management of fibroids during cesarean delivery is debated.
Purpose of the Study:
- To evaluate the safety and outcomes of myomectomy performed concurrently with cesarean section (CS) in women with uterine fibroids.
Main Methods:
- Retrospective cohort study comparing 91 women who underwent myomectomy during CS with 87 controls.
- Analysis of blood transfusion, postoperative hemoglobin, operative time, and hospital stay.
Main Results:
- No significant difference in blood transfusion or postoperative hemoglobin levels.
- Significantly longer operative time (80.2 vs 56.7 min) and hospital stay in the myomectomy group (P < 0.001).
Conclusions:
- Myomectomy during CS is a safe procedure with no increased peripartum maternal morbidities.
- Potential benefits include avoiding a second surgery, despite increased operative time and hospital stay.
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