Endometrial myomectomy: a novel surgical method during cesarean section. (16th February 2018)

• Record Type: Journal Article
• Authors: Hatırnaz, Şafak; Güler, Oğuz; Başaranoğlu, Serdar; Tokgöz, Cengiz; Kılıç, Gokhan S.
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 31:Number 4(2018)
• Page Start: 433
• Page End: 438
• Publication Date: 2018-02-16
• Subjects: Cesarean section -- endometrial myomectomy -- serosal myomectomy -- leiomyoma -- adhesion formation; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.1080/14767058.2017.1286320
• Languages: English
• ISSNs: 1476-7058

Abstract

Abstract: Study objective: Comparing surgical outcomes of a novel surgical technique endometrial myomectomy (EM) to serosal myomectomy (SM) during ceserean section (CS). Design: Retrospective cohort study (Canadian task force classification level II 1). Setting: Private hospital. Patients: Fourty-six women with leiomyomas during cesarean section Interventions: Endometrial myomectomy and serosal myomectomy during cesarean section between 2013 and 2016. Main outcome measures: Total 22 consequtive cases (Group 1) underwent EM in the last 2 years. The control group created from SM (Group 2) cases performed before EM implemented in our practice. Group 2 was matched based on anteriorly located intramural or submucosal leiomyoma. The size, location and number of leiomyoma, hematological course during pre- and postoperative period, the need for blood transfusion, duration of surgery, and any prolongation of hospital stay also documented. Results: Median number of leiomyoma was higher in EM than in SM ( p = 0.001). Median myomectomy procedure time and amount of intra-operative bleeding in SM were higher than EM (respectively, p = 0.005 and p = 0.001). In terms of other variables, there is no difference between the two myomectomy groups ( p > 0.05). Conclusion: This novel technique EM is a safe, feasible surgical technique compared with SM. Besides the less intra-operative blood loss, it also has the potential to diminish the risk of abdominal adhesion formation.