Analysis of clinical, biological and obstetric factors influencing the decision to perform cesarean myomectomy

Ginekologia polska
Radmila SparićAndrea Tinelli

Abstract

Myomas in pregnancy are associated with a significantly higher risk for cesarean section (CS). Cesarean myomectomy (CM), i.e. myomectomy during cesarean section, has been the source of much debate and was considered relatively contraindicated for many years. However, some authors advise to perform routine myomectomy during CS. The aim of our study was to determine factors influencing the intraoperative decision to perform CM. A total of 185 patients with uterine myomas, who delivered by caesarean section during a 5-year period, were included in the study--102 patients underwent CM (study group) and 83 women underwent CS without myomectomy (control group). Clinical and obstetric data were recorded and processed for analysis. Using non-parametric correlation methods, we investigated the influence of different variables on the decision to perform CM. No differences were recorded between the two groups in terms of parity fetal presentation, gestational age, number of previous laparotomies, and previous myomectomy presence of diabetes and hypertension, indications and type of CS. Significant differences were detected in type and location of the myomas, contrary to their number and size, where no significant differences were register...Continue Reading

Citations

Feb 1, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Radmila SparićAndrea Tinelli
Jan 25, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Şafak HatırnazGokhan S Kılıç
Jun 7, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Radmila SparićAndrea Tinelli
Aug 24, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Mehmet Ozgur AkkurtMekin Sezik
Nov 8, 2017·Obstetrics and Gynecology·Vasilios PergialiotisStergios K Doumouchtsis
Jan 1, 2020·The Journal of International Medical Research·Dan LiuXuelan Li
Jun 23, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Radmila SparićAndrea Tinelli
Nov 13, 2018·Journal of Obstetrics and Gynaecology of India·Anahita R Chauhan
Oct 21, 2015·Current Opinion in Obstetrics & Gynecology·Salvatore G VitaleFerdinando A Gulino
Feb 9, 2017·The Journal of Obstetrics and Gynaecology Research·Radmila SparićAndrea Tinelli
Jul 18, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yue HuangZhengyu Li
Nov 6, 2020·BMJ Case Reports·Catarina Reis-de-CarvalhoNuno Clode

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