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Myomectomy during caesarean: a retrospective evaluation of 16 cases

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Aim

To evaluate the results and complications of myomectomy carried out during caesarean section.

Materials and method

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.

Conclusion

Myomectomy carried out during caesarean section is a trusted surgical intervention regardless of the size of leiomyomata.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Harran University, School of Medicine, Yenisehir Campus, 63300, Sanliurfa, Turkey

    Adnan Incebiyik, Neşe Gul Hilali, Aysun Camuzcuoglu, Mehmet Vural & Hakan Camuzcuoglu

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  1. Adnan Incebiyik
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  2. Neşe Gul Hilali
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  3. Aysun Camuzcuoglu
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  4. Mehmet Vural
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  5. Hakan Camuzcuoglu
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Correspondence to Adnan Incebiyik.

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Incebiyik, A., Hilali, N.G., Camuzcuoglu, A. et al. Myomectomy during caesarean: a retrospective evaluation of 16 cases. Arch Gynecol Obstet 289, 569–573 (2014). https://doi.org/10.1007/s00404-013-3019-1

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  • DOI: https://doi.org/10.1007/s00404-013-3019-1

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