Myomectomy during cesarean section.
OBJECTIVE
To evaluate the outcome of myomectomy during cesarean section and to compare it with a control group.


METHODS
Using a retrospective case-control design; 40 patients who underwent myomectomy at time of cesarean delivery were compared with the control group consisted of 80 patients with myomas who underwent cesarean delivery alone.


RESULTS
The mean size of fibroids removed was 8.1+/-4.7 cm (range, 3-25 cm). In control group it was 5.7+/-2.7 cm (range, 2-14 cm). The incidence of hemorrhage in the study group was 12.5% as compared with 11.3% in the control group (p>0.05). There was also no significant differences in the incidence of postoperative fewer and frequency of blood transfusion between myomectomy and control groups (p>0.05).


CONCLUSIONS
Myomectomy during cesarean section is not always a hazardous procedure and it can be performed without significant complications by experienced obstetricians.
Kaymak
O
O
Zekai Tahir Burak Women Health Education and Research Hospital, Dikimevi, Ankara, Turkey. drkaymak@hotmail.com
Ustunyurt
E
E
Okyay
R E
RE
Kalyoncu
S
S
Mollamahmutoglu
L
L
D000328:Adult; D016022:Case-Control Studies; D002585:Cesarean Section; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay; D011183:Postoperative Complications; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D012189:Retrospective Studies; D014592:Uterine Hemorrhage / Q000209:etiology; D014594:Uterine Neoplasms / Q000601:surgery*