Akademik Veri Yönetim Sistemi
Journal of Clinical and Diagnostic Research, cilt.11, sa.10, 2017 (Scopus)
Introduction: The incidence of myomas during pregnancy is reported as 1.6-10.7% depending on gestational age. Increased rates of Cesarean Section (CS) together with advanced maternal age bring the decision for cesarean myomectomy (myomectomy during cesarean section) into question. Aim: To compare the obstetric features and clinical outcomes of pregnant women with uterine leiomyoma who had myomectomy together with cesarean section to those who had cesarean section only. Materials and Methods: A retrospective study was performed on a total of 50 pregnant women with myoma that underwent cesarean section in the Obstetrics and Gynaecology Department of Trakya University Medical Faculty between 2007 and 2014. Obstetric history, operative details and type, size and location of leiomyoma were noted and compared. Data were analysed using the IBM Statistical Package for Social Sciences v17 (SPSS Inc., Chicago, IL, USA). Parametric tests were applied to data with normal distribution and non-parametric tests were applied to data without normal distribution. Results: Two groups displayed similar features in terms of age, parity, gestational weeks, type and location of leiomyomas. Notably, average size of leiomyomas was larger (p=0.03) and duration of operation was significantly longer in patients that underwent cesarean myomectomy (72.69±26.73 min. vs. 56.25±6.64 min.) (p=0.003). Duration of hospitalization and preoperative/ postoperative values for hemoglobin and hematocrit levels did not show any clinically significant difference (p >0.05). Conclusion: Our results demonstrate that cesarean myomectomy is a safe and effective procedure in especially cases with large uterine leiomyomas.