title: Endometrial myomectomy: a novel surgical method during cesarean section.
abstract: OBJECTIVE
  Comparing surgical outcomes of a novel surgical technique endometrial myomectomy (EM) to serosal myomectomy (SM) during ceserean section (CS).
  
  
  METHODS
  Retrospective cohort study (Canadian task force classification level II 1).
  
  
  METHODS
  Private hospital.
  
  
  METHODS
  Fourty-six women with leiomyomas during cesarean section Interventions: Endometrial myomectomy and serosal myomectomy during cesarean section between 2013 and 2016.
  
  
  METHODS
  Total 22 consequtive cases (Group 1) underwent EM in the last 2 years. The control group created from SM (Group 2) cases performed before EM implemented in our practice. Group 2 was matched based on anteriorly located intramural or submucosal leiomyoma. The size, location and number of leiomyoma, hematological course during pre- and postoperative period, the need for blood transfusion, duration of surgery, and any prolongation of hospital stay also documented.
  
  
  RESULTS
  Median number of leiomyoma was higher in EM than in SM (p = 0.001). Median myomectomy procedure time and amount of intra-operative bleeding in SM were higher than EM (respectively, p = 0.005 and p = 0.001). In terms of other variables, there is no difference between the two myomectomy groups (p > 0.05).
  
  
  CONCLUSIONS
  This novel technique EM is a safe, feasible surgical technique compared with SM. Besides the less intra-operative blood loss, it also has the potential to diminish the risk of abdominal adhesion formation.
authors.affiliation: a Department of Obstetrics and Gynecology , Private Bilge Hospital , Istanbul , Turkey.
authors.forename: Şafak
authors.initials: Ş
authors.lastname: Hatırnaz
authors.affiliation: a Department of Obstetrics and Gynecology , Private Bilge Hospital , Istanbul , Turkey.
authors.forename: Oğuz
authors.initials: O
authors.lastname: Güler
authors.affiliation: a Department of Obstetrics and Gynecology , Private Bilge Hospital , Istanbul , Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Başaranoğlu
authors.affiliation: a Department of Obstetrics and Gynecology , Private Bilge Hospital , Istanbul , Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Tokgöz
authors.affiliation: b Department of Obstetrics and Gynecology , The University of Texas Medical Branch , Galveston, TX , USA.
authors.forename: Gokhan S
authors.initials: GS
authors.lastname: Kılıç
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000706:statistics & numerical data; D016022:Case-Control Studies; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D061646:Operative Time; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: Cesarean section; adhesion formation; endometrial myomectomy; leiomyoma; serosal myomectomy