Document Detail


Myomectomy during cesarean section.
MedLine Citation:
PMID:  19093235     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the safety and effectiveness of myomectomy during cesarean section (CS). Design. Retrospective case-control study. SETTING: Tertiary referral university hospital. POPULATION AND METHODS: A study group of 1,242 pregnant women with fibromyomas who underwent myomectomy during CS and three control groups of 200 matched pregnant women without fibromyomas who underwent CS deliveries (Group A), 145 patients with fibromyomas who underwent CS deliveries without removal of fibromyomas (Group B) and 51 patients with fibromyomas who had a hysterectomy during CS (Group C). MAIN OUTCOME MEASURES: The difference between pre- and postoperative hemoglobin levels, the incidence of hemorrhage, blood transfusion, postoperative fever, duration of operation and length of hospital stay. RESULTS: No difference was found in the median parity or mean gestational age, but maternal age was higher and the gestational age lower in Group C than the study group. The median number and diameter of fibromyomas in Group B were lower than in the study group. Compared to the study group, Group B women had more single fibromyomas, while those in Group C had more multiple fibromyomas. Group B had more uterine cornual fibromyomas than the study group. There were no differences in the mean hemoglobin change, the incidence of postoperative fever and the length of hospital stay among groups. CONCLUSION: Myomectomy during CS was a safe and an effective procedure.
Authors:
Hui Li; Juan Du; Liangyi Jin; Zhan Shi; Mingying Liu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  88     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2009  
Date Detail:
Created Date:  2009-01-26     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  183-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Shengjing Hospital, China Medical University, Shenyang, China. fclihui@sj-hospital.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Loss, Surgical
Cesarean Section*
Female
Hemoglobins / analysis
Humans
Hysterotomy
Leiomyoma / pathology,  surgery*
Length of Stay
Postoperative Complications
Pregnancy
Pregnancy Complications, Neoplastic / pathology,  surgery*
Uterine Neoplasms / pathology,  surgery*
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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