Skip to main content
SpringerLink
Log in

Myomectomy using purse-string suture during cesarean section

  • Short Communication
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

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.

Cases

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.

Conclusion

Myomectomy using purse-string suture during cesarean section is a safe, useful, and convenient technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Sapmaz E, Celik H, Altungül A (2003) Bilateral ascending uterine artery ligation vs. tourniquet use for hemostasis in cesarean myomectomy. A comparison. J Reprod Med 48:950–954

    PubMed  Google Scholar 

  2. Cobellis L, Pecori E, Cobellis G (2002) Hemostatic technique for myomectomy during cesarean section. Int J Gynaecol Obstet 79:261–262

    Article  PubMed  CAS  Google Scholar 

  3. Kaymak O, Ustunyurt E, Okyay RE, Kalyoncu S, Mollamahmutoglu L (2005) Myomectomy during cesarean section. Int J Gynaecol Obstet 89:90–93

    Article  PubMed  CAS  Google Scholar 

  4. Rock JA, Thompson JD (1997) Leiomyomata uteri and myomectomy. In: Te Linde’s operative gynecology, 8th edn. Williams & Wilkins, Philadelphia, p 763

    Google Scholar 

  5. Rasmussen KL, Knudsen HJ (1994) Effect of uterine fibromas on pregnancy. Ugeskr Laeger 156:7668–7670

    PubMed  CAS  Google Scholar 

  6. Hassiakos D, Christopoulos P, Vitoratos N, Xarchoulakou E, Vaggos G, Papadias K (2006) Myomectomy during cesarean section: a safe procedure? Ann NY Acad Sci 1092:408–413

    Article  PubMed  CAS  Google Scholar 

  7. Brown D, Fletcher HM, Myrie MO, Reid M (1999) Caesarean myomectomy—a safe procedure. A retrospective case controlled study. J Obstet Gynaecol 19:139–141

    Article  PubMed  CAS  Google Scholar 

  8. Kwawukume EY (2002) Myomectomy during cesarean section. Int J Gynaecol Obstet 76:183–184

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. 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

    Jeong-Heon Lee & Dong-Hyu Cho

Authors
  1. Jeong-Heon Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dong-Hyu Cho
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jeong-Heon Lee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, JH., Cho, DH. Myomectomy using purse-string suture during cesarean section. Arch Gynecol Obstet 283 (Suppl 1), 35–37 (2011). https://doi.org/10.1007/s00404-010-1760-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-010-1760-2

Keywords

Search

Navigation