OUTCOMES OF CESAREAN MYOMECTOMY COMPARED TO CESAREAN SECTION ALONE
Abstract
Aim. To compare the outcomes of cesarean myomectomy to cesarean section alone. Materials and Methods. We consecutively recruited 70 women who underwent cesarean section in Reshetova Kemerovo Regional Perinatal Center. In 14 patients having uterine fibroid, we performed cesarean myomectomy following comparison of the outcomes to women either with or without a past medical history of cesarean section (n = 28 per group). Results. The mean duration of cesarean my-omectomy was 58.3±21.4 min. There were no significant intraoperative complications, with a mean blood loss of 750.0 ± 150.6 mL and no cases of blood transfusion. The mean hemoglobin level after cesarean myomectomy was 99.7 ± 12.5 g/L. There were no significant differences in the length of hospital stay between the patients who underwent cesarean myomectomy and cesarean section alone. Conclusion. Cesarean myomectomy significantly increases the blood loss. However, it neither causes major complications nor prolongs hospital stay compared to cesarean section alone and therefore can be considered as a possible surgical option.
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Review
For citations:
Shakirova E.A. OUTCOMES OF CESAREAN MYOMECTOMY COMPARED TO CESAREAN SECTION ALONE. Fundamental and Clinical Medicine. 2017;2(3):52-57. (In Russ.)
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