[Leiomyomas in pregnancy].

OBJECTIVES

The problem of leiomyomas founded in pregnancy is reported.

DESIGN

Diagnostic methods, indications and contraindications for the myomectomy and surgical technique are presented.

MATERIALS AND METHODS

In years 1991-2000--185 pregnant women with leiomyomas diagnosed during pregnancy or caesarean section were treated.

RESULTS

There were indications for the myomectomy during pregnancy in the group of 26 women, in next 55 women leiomyomas were diagnosed in the course of pregnancy but myomectomy was performed during caesarean section. In the other group of 104 pregnant women leiomyomas were found and enucleated first during caesarean section made on the other indications.

CONCLUSIONS

It was observed that myomectomy during caesarean section and also in the course of pregnancy is a safe procedure when the indications and surgical technique are correctly made.