Is Myomectomy Safe during Cesarean Section?.
- Author:
So Young KWON
1
;
Tae Hee KIM
;
Jin Ho JEONG
;
Chung N LEE
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea. whitefor@freechal.com
- Publication Type:Original Article
- Keywords:
Myomectomy;
Cesarean section
- MeSH:
Blood Transfusion;
Cesarean Section*;
Female;
Gestational Age;
Gynecology;
Hemorrhage;
Humans;
Korea;
Leiomyoma;
Methods;
Myoma;
Obstetrics;
Outcome Assessment (Health Care);
Pregnancy;
Pregnant Women;
Retrospective Studies;
Seoul
- From:Korean Journal of Perinatology
2003;14(2):154-159
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To evaluate the intra- and post-operative risks of myomectomies during cesarean section. MATERIALS AND METHODS: This study is a retrospective review of myomectomy during cesarean section performed from January 1, 1998, to December 31, 2000, at the Department of Obstetrics and Gynecology, School of Medicine, Pochon CHA University, Seoul, Korea. The subjects were 88 pregnant women diagnosed with leiomyoma. The outcome measures were hemoglobin drop, blood loss, need for blood transfusion, intra- and post- operative complications. RESULTS: The mean age of the patients was 32.5 +/- 4.4 and nulliparas(84.1%) were prevalent. The mean gestational age was 38 +/- 1.19 wks. Single myoma was found in 67% of cases, 50% located in the uterine corpus and 50% of cases were subserosal. type. The mean blood loss was 731.5 +/- 238ml range 400-2500. Twelve patients(13.6%) had blood transfusion. There was one case of re-operation because of post-operative bleeding. But there was no case of severe hemorrhage necessitating hystrectomy. CONCLUSION: Myomectomy during cesarean section is not such a hazardous procedure as many now believe.
