title: Myomectomy during cesarean section and adhesion formation as a long-term postoperative complication.
abstract: OBJECTIVE
  We aimed to evaluate the incidence and features of postoperative adhesion related complications occurring following myolysis or myomectomy performed during cesarean section (C/S).
  
  
  METHODS
  This cross-sectional study consists of four groups of patients who underwent C/S: group I; myolysis is performed by electric cauterization for small superficial fibroids less than 2 cm. (n: 21), group II; myomectomy is performed for pedunculated fibroids (n: 18), group III; myomectomy is performed for intramural/subserous fibroids less than 5 cm. (n: 23), group IV control group (n: 19) who did not go through myomectomy Repeat C/S is performed to study subjects within 1-5 years. All cases are evaluated in terms of mild to moderate adhesions between omentum and uterus, mild to moderate adnexial area adhesions, mild to moderate incision area adhesions and surgical difficulty due to severe adhesions.
  
  
  RESULTS
  The incidence of adhesions of omentum and uterus (p= 0.278), mild to moderate adnexial area adhesions (p = 0.831), mild to moderate incision area adhesions (p= 0.804) were similar between the intervention groups (group I, II, and III) and the controls (group IV).
  
  
  CONCLUSIONS
  Cesarean myomectomy is a safe procedure and can be performed without significant postoperative adhesion formation.
authors.forename: Mert
authors.initials: M
authors.lastname: Turgal
authors.forename: A Seval
authors.initials: AS
authors.lastname: Ozgu-Erdinc
authors.forename: Kemal
authors.initials: K
authors.lastname: Beksac
authors.forename: Ozgur
authors.initials: O
authors.lastname: Ozyuncu
authors.forename: Ergun
authors.initials: E
authors.lastname: Karaagaoglu
authors.forename: M Sinan
authors.initials: MS
authors.lastname: Beksac
mesh_terms: D000328:Adult; D002585:Cesarean Section; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D000267:Tissue Adhesions / Q000209:etiology* / Q000517:prevention & control; D063186:Uterine Myomectomy / Q000009:adverse effects* / Q000379:methods; D014594:Uterine Neoplasms / Q000601:surgery*; D055815:Young Adult