title: Outcomes after cesarean myomectomy versus cesarean alone among pregnant women with uterine leiomyomas.
abstract: OBJECTIVE
  To determine whether myomectomy during cesarean delivery is safe and feasible among pregnant women with leiomyomas.
  
  
  METHODS
  In a retrospective study, data were reviewed from pregnant women with uterine leiomyomas who delivered by cesarean at a center in Turkey between May 1, 2007, and April 30, 2014. Women were divided into two groups: cesarean myomectomy (CM) or cesarean only (CO). Data were analyzed for characteristics of the uterine leiomyomas, hematologic changes occurring between the preoperative and postoperative periods, duration of the operation, and length of hospital stay.
  
  
  RESULTS
  Overall, 76 women formed the CM group and 60 formed the CO group. The mean diameter of the leiomyomas did not differ between CM and CO groups (4.6±2.5cm vs 5.2±2.2cm; P=0.175). More patients in the CM group than in the CO group had subserous (24 [31.6%] vs 7 [11.7%]; P=0.006) and uterine corpus (57 [75.0%] vs 30 [50.0%]; P=0.003) leiomyomas. Fewer patients in the CM group had intramural (44 [57.9%] vs 49 [81.7%]; P=0.003) and fundal (15 [19.7%] vs 25 [41.7%]; P=0.005) leiomyomas.
  
  
  CONCLUSIONS
  Surgeons were more likely to remove corporal and subserous leiomyomas than other types; size did not seem to affect decision making. CM can be a safe operation for some patients.
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey. Electronic address: dronurtopcu@gmail.com.
authors.forename: Hasan O
authors.initials: HO
authors.lastname: Topçu
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Can T
authors.initials: CT
authors.lastname: İskender
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Timur
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Oktay
authors.initials: O
authors.lastname: Kaymak
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Tuba
authors.initials: T
authors.lastname: Memur
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Nuri
authors.initials: N
authors.lastname: Danışman
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay; D061646:Operative Time; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D014421:Turkey; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: Cesarean; Cesarean myomectomy; Leiomyoma; Myomectomy; Pregnancy