title: Surgical management of leiomyomata in pregnancy.
abstract: A review was made of the medical records of 26 patients with uterine myomas during pregnancy between 1983 and 1992 among 12,965 deliveries. Thirteen patients underwent myomectomies before pregnancy. In three patients myomectomy was performed during pregnancy between the 12th and the 19th week of pregnancy. In ten patients myomectomy was performed during cesarean section delivery to prevent necrobiosis. Myomectomy should remain exceptional during pregnancy and it must be performed only in selected cases but is frequently used towards the end of a cesarean section. Indications for hysterectomy, on the other hand, remain limited.
authors.affiliation: Department B of Gynecology and Obstetric Institute, University of Turin, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Febo
authors.forename: M
authors.initials: M
authors.lastname: Tessarolo
authors.forename: L
authors.initials: L
authors.lastname: Leo
authors.forename: S
authors.initials: S
authors.lastname: Arduino
authors.forename: T
authors.initials: T
authors.lastname: Wierdis
authors.forename: L
authors.initials: L
authors.lastname: Lanza
mesh_terms: D002585:Cesarean Section; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*