Obstet Gynecol Sci.  2014 Sep;57(5):367-372. 10.5468/ogs.2014.57.5.367.

The safety of cesarean myomectomy in women with large myomas

• Kwon DH
• Song JE
• Yoon KR
• Lee KY

• KMID: 2051717
• DOI: http://doi.org/10.5468/ogs.2014.57.5.367

Abstract

OBJECTIVE
To evaluate the safety of cesarean myomectomy in large myomas sized >5 cm.
METHODS
One hundred sixty-five pregnant women with myomas who delivered via cesarean section were identified. Ninety-six women had cesarean section without myomectomy, and 65 women underwent cesarean myomectomy. We compared the maternal characteristics, neonatal weight, myoma types, and operative outcomes between two groups. We further analyzed cesarean myomectomy group according to myoma size. The large myoma was defined as myoma >5 cm in size. The maternal characteristics, neonatal weight, and myoma types were compared between two groups. We also compared the operative outcomes such as preoperative and postoperative hemoglobin, operative time, and hospitalized days between two groups.
RESULTS
There were no significant differences in the maternal characteristics, myoma types, neonatal weight and operative outcomes between cesarean section without myomectomy and cesarean myomectomy. The subgroup analysis according to myoma size (>5 cm or not) in cesarean myomectomy group revealed that there were no significant differences in the mean hemoglobin change (1.2 vs. 1.3 mg/dL, P=0.6), operative time (90.5 vs. 93.1 minutes, P=0.46), and the length of hospital stay (4.7 vs. 5.2 days, P=0.15) between two groups. The comparison of maternal characteristics, neonatal weight, and myoma types between two groups also showed no statistical significance.
CONCLUSION
Cesarean myomectomy in patients with large myomas is a safe and effective procedure.

Keyword

Cesarean myomectomy; Large myoma; Safety

MeSH Terms

Cesarean Section
Female
Humans
Length of Stay
Myoma*
Operative Time
Pregnancy
Pregnant Women

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