title: Electro-cautery of myomas during caesarean section--two case reports.
abstract: Myomectomy is a surgical procedure not usually performed during caesarean section because associated with high risk of haemorrhage and other complications. The goal of our study is to evaluate the feasibility of myomectomy during caesarean section, the outcome, and try to establish the favourable conditions to perform a myomectomy during the same surgical event. Electro-cautery of intramural-subserous myomas was performed on two different patients. Only the myomas of little or middle size were treated. Both patients had multiple fibroids, a firm contraindication for myomectomy during caesarean section. After 10 and 13 months since myoma electro-cautery, all uterine fibroids treated were completely reabsorbed. These preliminary results regard the fibroids of middle size. It could be interesting evaluating the electro-cautery on bigger fibroids.
authors.affiliation: Department of Paediatrics, Obstetrics and Gynaecology, University of Siena, Siena, Italy. luigicobellis@yahoo.it
authors.forename: Luigi
authors.initials: L
authors.lastname: Cobellis
authors.forename: Pasquale
authors.initials: P
authors.lastname: Florio
authors.forename: Luigi
authors.initials: L
authors.lastname: Stradella
authors.forename: Eugenio
authors.initials: E
authors.lastname: De Lucia
authors.forename: Enrico M
authors.initials: EM
authors.lastname: Messalli
authors.forename: Felice
authors.initials: F
authors.lastname: Petraglia
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cobellis
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*