Risk factors for complications in patients undergoing myomectomy at the time of cesarean section.
OBJECTIVE
The aim of this study was to evaluate the risk factors for complications of myomectomy at cesarean section (CS).


METHODS
The subjects were a non-complicated group (n = 100) and a complicated group (n = 10) of patients aged between 20 and 43 years who underwent CS and simultaneous myomectomy at our institution from January 2006 until December 2008. Complications were defined as blood transfusion greater than three packed red blood cells, postoperative ileus, and two days longer than average hospitalization.


RESULTS
The complicated group (n = 10) had (i) a myoma larger than 10 cm and no secondary change; and (ii) intramural myoma type.


CONCLUSIONS
Myomectomy during CS can be performed in selected cases, but some patients had significant complications like ileus and postoperative atonic bleeding.
Kim
Yun-Sook
YS
Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University Chunan Hospital, Chunan City, Chungnam, Korea. drsook@schca.ac.kr
Choi
Seung-Do
SD
Bae
Dong-Han
DH
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D045823:Ileus / Q000209:etiology*; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery; D012307:Risk Factors; D014594:Uterine Neoplasms / Q000601:surgery*