title: Uterine myomectomy in pregnant women.
abstract: OBJECTIVE
  To determine whether myomectomy during pregnancy in selected patients improves outcome.
  
  
  METHODS
  Retrospective analysis of 18 patients who underwent myomectomy between the 6th and 24th week of gestational age. Surgical management of tumors was required on the basis of the characteristics of the myomas and symptoms. The dimensions and site of myomas, symptoms of the patients, time and mode of delivery, and pregnancy outcome were analyzed.
  
  
  RESULTS
  One woman was lost to follow-up, and one suffered a miscarriage. The remaining 16 patients delivered healthy babies between the 36th and 41st week; 14 delivered by cesarean section, and 2 vaginally.
  
  
  CONCLUSIONS
  We suggest that myomectomy during pregnancy may be considered safe in selected patients. Moreover, it permits good pregnancy outcome with healthy babies delivered at term.
authors.affiliation: Dipartimento di Ostetricia e Ginecologia, Università Cattolica del Sacro Cuore, Roma, Italia. acaruso@katamail.com
authors.forename: S
authors.initials: S
authors.lastname: De Carolis
authors.forename: G
authors.initials: G
authors.lastname: Fatigante
authors.forename: S
authors.initials: S
authors.lastname: Ferrazzani
authors.forename: C
authors.initials: C
authors.lastname: Trivellini
authors.forename: L
authors.initials: L
authors.lastname: De Santis
authors.forename: S
authors.initials: S
authors.lastname: Mancuso
authors.forename: A
authors.initials: A
authors.lastname: Caruso
mesh_terms: D000022:Abortion, Spontaneous; D000328:Adult; D001724:Birth Weight; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D005865:Gestational Age; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011256:Pregnancy Outcome; D014427:Twins; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*