Korean J Perinatol.  2003 Jun;14(2):154-159.

Is Myomectomy Safe during Cesarean Section?

• Kwon SY
• Kim TH
• Jeong JH
• Lee CN

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.

Keyword

Myomectomy; Cesarean section

MeSH Terms

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