Department of Obstetrics and Gynecology, Harran University, School of Medicine, Yenisehir Campus, 63300, Sanliurfa, Turkey,
Arch Gynecol Obstet. 2014 Mar;289(3):569-73. doi: 10.1007/s00404-013-3019-1. Epub 2013 Sep 8.
To evaluate the results and complications of myomectomy carried out during caesarean section.
A retrospective study of 16 patients who underwent myomectomy concurrently with caesarean section in our clinic between January 2009 and September 2012 was conducted. The pre- and postoperative haemoglobin values, number, size and total volume of excised fibroid nodules, location of fibroids, duration of operation, and duration of hospital stay of all patients were retrospectively investigated.
While the most common leiomyoma was transmural myoma, with ten cases encountered, the most common location was in the corpus anterior, where transmural myomas were seen in five patients. The volume of the excised leiomyomata ranged from 84 to 3.300 cm³. The average preoperative haemoglobin value of our patients was 11.4 g/dl, while the postoperative value was 10.3 g/dl. Of 16 patients included in the study, two required blood transfusions due to excessive bleeding. Uterine defects caused by the myomectomy were closed without problems in all patients, and no patient required a hysterectomy. The average time for the myomectomy and caesarean section procedure was 56.1 min. All patients were discharged without problems an average of 3.25 days after the operation.
Myomectomy carried out during caesarean section is a trusted surgical intervention regardless of the size of leiomyomata.
评估剖宫产术中子宫肌瘤剔除术的效果和并发症。
对 2009 年 1 月至 2012 年 9 月期间在我院行剖宫产术中子宫肌瘤剔除术的 16 例患者进行回顾性研究。回顾性调查所有患者的术前和术后血红蛋白值、切除的肌瘤结节数量、大小和总体积、肌瘤位置、手术时间和住院时间。
最常见的平滑肌瘤为壁间肌瘤，有 10 例，最常见的位置在前体部，有 5 例壁间肌瘤。切除的子宫肌瘤体积为 84 至 3300cm³。患者术前平均血红蛋白值为 11.4g/dl，术后为 10.3g/dl。在纳入研究的 16 例患者中，有 2 例因出血过多需要输血。所有患者的子宫肌瘤剔除术后子宫缺陷均无问题地闭合，无一例患者需要行子宫切除术。子宫肌瘤剔除术和剖宫产术的平均时间为 56.1 分钟。所有患者术后平均 3.25 天无问题出院。
无论肌瘤大小，剖宫产术中子宫肌瘤剔除术都是一种可靠的手术干预措施。
