Research Article
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Year 2015, Volume: 2 Issue: 5, 292 - 296, 11.07.2015

Mehmet Senturk Mehmet Budak Yusuf Cakmak Kasim Turan

https://doi.org/10.17546/msd.50702

Abstract

References

  • Exacoustòs C, Rosati P. Ultrasound diagnosis of uterine myomas and complications in pregnancy. Obstet Gynecol. 1993;82(1):97-101.
  • Strobelt N, Ghidini A, Cavallone M, .Pensabene I, ceruti P, Vergani P. Natural history of uterine leiomyomas in pregnancy. J Ultrasound Med. 1994;13(5):399-401.
  • Qidwai GI, Caughey AB, Jacoby AF. Obstetric outcomes in women with sonographically identified uterine leiomyomata. Obstet Gynecol. 2006;107(2 Pt 1):376-82.
  • Laughlin SK, Baird DD, Savitz DA, Herring AH, Hartmann KE. Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol. 2009;113(3):630-5
  • Coleman-Cowger VH, Erickson K, Spong CY, Portnoy B, Croswell J, Schulkin J. Current practice of cesarean delivery on maternal request following the 2006 state-of-the science conference. J Reprod Med. 2010;55(1-2):25-30.
  • Sheiner E, Bashiri A, Levy A, Hershkovitz R, Katz M, Mazor M. Obstetric characteristics and perinatal outcome of pregnancies with uterine leiomyomas. J Reprod Med 2004;49:182-6.
  • Davis JL, Ray-Mazumder S, Hobel CJ, Baley K, Sassoon D. Uterine leiomyomas in pregnancy: a prospective study. Obstet Gynecol 1990;75:41-4.
  • Ortac F, Gungor M, Sonmezer M. Myomectomy during cesarean section. Int J Gynaecol Obstet 1999;67:189-90.
  • Kwon DH, Song JE, Yoon KR, Lee KY. The safety of cesarean myomectomy in women with large myomas. Obstet Gynecol Sci. 2014;57(5):367-72.
  • Kaymak O, Ustunyurt E, Okyay RE, kalyoncu S, Mollamahmutoğku L. Myomectomy during cesarean section. Int J Gynaecol Obstet. 2005;89(2):90-3.
  • Song D, Zhang W, Chames MC, Gou J. Myomectomy during cesarean delivery. Int J Gynaecol Obstet. 2013;121(3):208-13.
  • Burton CA, Grimes DA, March CM. Surgical management of leiomyomata during pregnancy. Obstet Gynecol. 1989;74(5):707-9
  • Febo G, Tessarolo M, Leo L, Arduino S, Wierdis T, Lanza L. Surgical management of leiomyomata in pregnancy. Clin Exp Obstet Gynecol 1997;24(2):76-8.
  • Roman AS, Tabsh KM. Myomectomy at time of cesarean delivery: a retrospective cohort study.BMC Pregnancy Childbirth. 2004;16;4(1):14.
  • Hassiakos D, Christopoulos P, Vitoratos N, Xarchoulakou E, Vaggos G, Papadias K. Myomectomy during cesarean section: a safe procedure? Ann N Y Acad Sci.2006;1092:408-13.
  • Vergani P, Locatelli A, Ghidini A, Andreani M, Sala F, Pezzullo JC. Large uterine leiomyomata and risk of cesarean delivery. Obstet Gynecol 2007;109(2 Pt 1):410-4.
  • Park BJ, Kim YW. Safety of cesarean myomectomy. J Obstet Gynaecol Res. 2009;35(5):906-11.
  • Shavell VI, Thakur M, Sawant A, Kruger ML, Jones TB, Singh M et al.. Adverse obstetric outcomes associated with sonographically identified large uterine fibroids. Fertil Steril 2012;97:107-10.
  • Kwawukume EY. Caesarean myomectomy. Afr J Reprod Health. 2002;6(3):38-43.
  • Celal K, Hülya C. The evaluation of myomectomies performed during cesarean section in our clinic. Niger Med J. 2011;52(3):186-8
  • Incebiyik A, Hilali NG, Camuzcuoglu A, Vural M, Camuzcuoglu H. Myomectomy during caesarean: a retrospective evaluation of 16 cases. Arch Gynecol Obstet. 2014;289(3):569-73
  • Awoleke JO. Myomectomy during Caesarean Birth in Fibroid-Endemic, Low-Resource Settings. Obstet Gynecol Int. 2013:520834. doi: 10.1155/2013/520834
  • Leanza V, Fichera S, Leanza G, Cannizzaro MA. Huge fibroid (g. 3.000) removed during cesarean section with uterus preservation: a case report. Ann Ital Chir 2011;82:75-7.
  • Ma PC, Juan YC, Wang ID, Chen CH, Liu WM, Jeng CJ. A huge leiomyoma subjected to a myomectomy during a cesarean section. Taiwan J Obstet Gynecol 2010;49:220-2.
  • Desai BR, Patted SS, Pujar YV, Sherigar BY, Das SR, Ruge JC. A novel technique of selective uterine devascularization before myomectomy at the time of cesarean section: a pilot study. Fertil Steril. 2010;94(1):362-4
  • Lin JY, Lee WL, Wang PH, Lai MJ, Chang WH, Liu WM. Uterine artery occlusion and myomectomy for treatment of pregnant women with uterine leiomyomas who are undergoing cesarean section. J Obstet Gynaecol Res. 2010;36(2):284-90.
  • Sapmaz E, Celik H, Altungül A. Bilateral ascending uterine artery ligation vs. tourniquet use for hemostasis in cesarean myomectomy. A comparison.J Reprod Med. 2003;48(12):950-4.
  • Evans S, McShane P. The efficacy of internal iliac artery ligation in obstetric hemorrhage . Surg Gynecol Obstet 1985;160:250
  • Joshi VM, Otiv SR, Majumder R, Nikam YA, Shrivastana M. İnternal iliac artery ligation for arresting postpartum hemorrhage. BJOG 2007; 114:356

Is myomectomy safe during cesarean section in large myomas?

Year 2015, Volume: 2 Issue: 5, 292 - 296, 11.07.2015

Mehmet Senturk Mehmet Budak Yusuf Cakmak Kasim Turan

https://doi.org/10.17546/msd.50702

Abstract

Objective: The rate of cesarean section, gravida and pregnancy age have been gradually increasing. Thus the rate of myoma have increased during cesarean. But it may difficult to make decision aboıut myomectomy during cesarean especially large myomas because of complications. Therefore, several obstetricians do not recommend cesarean myomectomy, except in cases of small and pedunculated uterine fibroids that do not result in complications.

The aim of this study to evaluate safety of myomectomy during emergency cesarean section in large myomas. 

Material and Methods: We examined retrospectively the results of 190 patients who underwent cesarean myomectomy in two non tertiary hospital in southeastern Anatolia. We compared complications, hemoglobin change, length  of stay in hospital and blood transfusion according to diameter of myoma. Complication and blood transfusion rates in relation to the diameter of uterine fibroids were evaluated using Fisher’s exact test. Changes in hemoglobin levels from baseline value and length of stay in hospital were compared using the Mann Whitney U test. Significance level was set at P <0.01 and 0.05.

Results: No significant association was found between complication rates and diameter of the fibroids (P=0.633). Similarly, no significant association was observed between the type of uterine fibroids and complication rates (P=1.000). We also found no significant difference among the changes in hemoglobin levels, length of stay in hospital and transfusion (P=0.835, p=0.184, p=0.633). 

Conclusion: Myomectomy is safe procedure at the emergency cesarean section in large myoma with attention.

Keywords

Cesarean section Complications Myoma

References

  • Exacoustòs C, Rosati P. Ultrasound diagnosis of uterine myomas and complications in pregnancy. Obstet Gynecol. 1993;82(1):97-101.
  • Strobelt N, Ghidini A, Cavallone M, .Pensabene I, ceruti P, Vergani P. Natural history of uterine leiomyomas in pregnancy. J Ultrasound Med. 1994;13(5):399-401.
  • Qidwai GI, Caughey AB, Jacoby AF. Obstetric outcomes in women with sonographically identified uterine leiomyomata. Obstet Gynecol. 2006;107(2 Pt 1):376-82.
  • Laughlin SK, Baird DD, Savitz DA, Herring AH, Hartmann KE. Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol. 2009;113(3):630-5
  • Coleman-Cowger VH, Erickson K, Spong CY, Portnoy B, Croswell J, Schulkin J. Current practice of cesarean delivery on maternal request following the 2006 state-of-the science conference. J Reprod Med. 2010;55(1-2):25-30.
  • Sheiner E, Bashiri A, Levy A, Hershkovitz R, Katz M, Mazor M. Obstetric characteristics and perinatal outcome of pregnancies with uterine leiomyomas. J Reprod Med 2004;49:182-6.
  • Davis JL, Ray-Mazumder S, Hobel CJ, Baley K, Sassoon D. Uterine leiomyomas in pregnancy: a prospective study. Obstet Gynecol 1990;75:41-4.
  • Ortac F, Gungor M, Sonmezer M. Myomectomy during cesarean section. Int J Gynaecol Obstet 1999;67:189-90.
  • Kwon DH, Song JE, Yoon KR, Lee KY. The safety of cesarean myomectomy in women with large myomas. Obstet Gynecol Sci. 2014;57(5):367-72.
  • Kaymak O, Ustunyurt E, Okyay RE, kalyoncu S, Mollamahmutoğku L. Myomectomy during cesarean section. Int J Gynaecol Obstet. 2005;89(2):90-3.
  • Song D, Zhang W, Chames MC, Gou J. Myomectomy during cesarean delivery. Int J Gynaecol Obstet. 2013;121(3):208-13.
  • Burton CA, Grimes DA, March CM. Surgical management of leiomyomata during pregnancy. Obstet Gynecol. 1989;74(5):707-9
  • Febo G, Tessarolo M, Leo L, Arduino S, Wierdis T, Lanza L. Surgical management of leiomyomata in pregnancy. Clin Exp Obstet Gynecol 1997;24(2):76-8.
  • Roman AS, Tabsh KM. Myomectomy at time of cesarean delivery: a retrospective cohort study.BMC Pregnancy Childbirth. 2004;16;4(1):14.
  • Hassiakos D, Christopoulos P, Vitoratos N, Xarchoulakou E, Vaggos G, Papadias K. Myomectomy during cesarean section: a safe procedure? Ann N Y Acad Sci.2006;1092:408-13.
  • Vergani P, Locatelli A, Ghidini A, Andreani M, Sala F, Pezzullo JC. Large uterine leiomyomata and risk of cesarean delivery. Obstet Gynecol 2007;109(2 Pt 1):410-4.
  • Park BJ, Kim YW. Safety of cesarean myomectomy. J Obstet Gynaecol Res. 2009;35(5):906-11.
  • Shavell VI, Thakur M, Sawant A, Kruger ML, Jones TB, Singh M et al.. Adverse obstetric outcomes associated with sonographically identified large uterine fibroids. Fertil Steril 2012;97:107-10.
  • Kwawukume EY. Caesarean myomectomy. Afr J Reprod Health. 2002;6(3):38-43.
  • Celal K, Hülya C. The evaluation of myomectomies performed during cesarean section in our clinic. Niger Med J. 2011;52(3):186-8
  • Incebiyik A, Hilali NG, Camuzcuoglu A, Vural M, Camuzcuoglu H. Myomectomy during caesarean: a retrospective evaluation of 16 cases. Arch Gynecol Obstet. 2014;289(3):569-73
  • Awoleke JO. Myomectomy during Caesarean Birth in Fibroid-Endemic, Low-Resource Settings. Obstet Gynecol Int. 2013:520834. doi: 10.1155/2013/520834
  • Leanza V, Fichera S, Leanza G, Cannizzaro MA. Huge fibroid (g. 3.000) removed during cesarean section with uterus preservation: a case report. Ann Ital Chir 2011;82:75-7.
  • Ma PC, Juan YC, Wang ID, Chen CH, Liu WM, Jeng CJ. A huge leiomyoma subjected to a myomectomy during a cesarean section. Taiwan J Obstet Gynecol 2010;49:220-2.
  • Desai BR, Patted SS, Pujar YV, Sherigar BY, Das SR, Ruge JC. A novel technique of selective uterine devascularization before myomectomy at the time of cesarean section: a pilot study. Fertil Steril. 2010;94(1):362-4
  • Lin JY, Lee WL, Wang PH, Lai MJ, Chang WH, Liu WM. Uterine artery occlusion and myomectomy for treatment of pregnant women with uterine leiomyomas who are undergoing cesarean section. J Obstet Gynaecol Res. 2010;36(2):284-90.
  • Sapmaz E, Celik H, Altungül A. Bilateral ascending uterine artery ligation vs. tourniquet use for hemostasis in cesarean myomectomy. A comparison.J Reprod Med. 2003;48(12):950-4.
  • Evans S, McShane P. The efficacy of internal iliac artery ligation in obstetric hemorrhage . Surg Gynecol Obstet 1985;160:250
  • Joshi VM, Otiv SR, Majumder R, Nikam YA, Shrivastana M. İnternal iliac artery ligation for arresting postpartum hemorrhage. BJOG 2007; 114:356
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Mehmet Senturk

Mehmet Budak This is me

Yusuf Cakmak

Kasim Turan This is me

Publication Date July 11, 2015
Published in Issue Year 2015 Volume: 2 Issue: 5

Cite

APA Senturk, M., Budak, M., Cakmak, Y., Turan, K. (2015). Is myomectomy safe during cesarean section in large myomas?. Medical Science and Discovery, 2(5), 292-296. https://doi.org/10.17546/msd.50702
AMA Senturk M, Budak M, Cakmak Y, Turan K. Is myomectomy safe during cesarean section in large myomas?. Med Sci Discov. July 2015;2(5):292-296. doi:10.17546/msd.50702
Chicago Senturk, Mehmet, Mehmet Budak, Yusuf Cakmak, and Kasim Turan. “Is Myomectomy Safe During Cesarean Section in Large Myomas?”. Medical Science and Discovery 2, no. 5 (July 2015): 292-96. https://doi.org/10.17546/msd.50702.
EndNote Senturk M, Budak M, Cakmak Y, Turan K (July 1, 2015) Is myomectomy safe during cesarean section in large myomas?. Medical Science and Discovery 2 5 292–296.
IEEE M. Senturk, M. Budak, Y. Cakmak, and K. Turan, “Is myomectomy safe during cesarean section in large myomas?”, Med Sci Discov, vol. 2, no. 5, pp. 292–296, 2015, doi: 10.17546/msd.50702.
ISNAD Senturk, Mehmet et al. “Is Myomectomy Safe During Cesarean Section in Large Myomas?”. Medical Science and Discovery 2/5 (July 2015), 292-296. https://doi.org/10.17546/msd.50702.
JAMA Senturk M, Budak M, Cakmak Y, Turan K. Is myomectomy safe during cesarean section in large myomas?. Med Sci Discov. 2015;2:292–296.
MLA Senturk, Mehmet et al. “Is Myomectomy Safe During Cesarean Section in Large Myomas?”. Medical Science and Discovery, vol. 2, no. 5, 2015, pp. 292-6, doi:10.17546/msd.50702.
Vancouver Senturk M, Budak M, Cakmak Y, Turan K. Is myomectomy safe during cesarean section in large myomas?. Med Sci Discov. 2015;2(5):292-6.
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