title: Myomectomy using purse-string suture during cesarean section.
abstract: BACKGROUND
  Conventionally, myomectomy during cesarean section is reserved only for pedunculated myomas because resection of myomas at the time of cesarean section usually stimulates profuse bleeding.
  
  
  METHODS
  Thirty-one patients underwent myomectomy using purse-string suture during cesarean section. Myoma could be excised without profuse bleeding, while an assistant maintains strong tension on the purse-string suture around the myoma. The suture was tightened and tied immediately after complete resection of the myoma and then stitches of another purse-string suture were placed alternately with each previous stitch in the inner side of the first suture. We have used this method for more than 3 years and have not observed failures and serious complications, such as late hemorrhage and uterine rupture during a subsequent pregnancy.
  
  
  CONCLUSIONS
  Myomectomy using purse-string suture during cesarean section is a safe, useful, and convenient technique.
authors.affiliation: Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, 634-18, Keumam Dong, Dukjin gu, Jeonju, Jeonbuk, 561-712, South Korea. jh.lee@jbnu.ac.kr
authors.forename: Jeong-Heon
authors.initials: JH
authors.lastname: Lee
authors.forename: Dong-Hyu
authors.initials: DH
authors.lastname: Cho
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D009215:Myometrium / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery; D013536:Suture Techniques; D014594:Uterine Neoplasms / Q000601:surgery*