title: Myomectomy during caesarean: a retrospective evaluation of 16 cases.
abstract: OBJECTIVE
  To evaluate the results and complications of myomectomy carried out during caesarean section.
  
  
  METHODS
  A retrospective study of 16 patients who underwent myomectomy concurrently with caesarean section in our clinic between January 2009 and September 2012 was conducted. The pre- and postoperative haemoglobin values, number, size and total volume of excised fibroid nodules, location of fibroids, duration of operation, and duration of hospital stay of all patients were retrospectively investigated.
  
  
  RESULTS
  While the most common leiomyoma was transmural myoma, with ten cases encountered, the most common location was in the corpus anterior, where transmural myomas were seen in five patients. The volume of the excised leiomyomata ranged from 84 to 3.300 cm³. The average preoperative haemoglobin value of our patients was 11.4 g/dl, while the postoperative value was 10.3 g/dl. Of 16 patients included in the study, two required blood transfusions due to excessive bleeding. Uterine defects caused by the myomectomy were closed without problems in all patients, and no patient required a hysterectomy. The average time for the myomectomy and caesarean section procedure was 56.1 min. All patients were discharged without problems an average of 3.25 days after the operation.
  
  
  CONCLUSIONS
  Myomectomy carried out during caesarean section is a trusted surgical intervention regardless of the size of leiomyomata.
authors.affiliation: Department of Obstetrics and Gynecology, Harran University, School of Medicine, Yenisehir Campus, 63300, Sanliurfa, Turkey, dr.aincebiyik@gmail.com.
authors.forename: Adnan
authors.initials: A
authors.lastname: Incebiyik
authors.forename: Neşe Gul
authors.initials: NG
authors.lastname: Hilali
authors.forename: Aysun
authors.initials: A
authors.lastname: Camuzcuoglu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Vural
authors.forename: Hakan
authors.initials: H
authors.lastname: Camuzcuoglu
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay / Q000706:statistics & numerical data; D011183:Postoperative Complications; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*