Is Myoma Size Important in Caesarean Myomectomy Operation?

Authors : Ferhat Çetin, İlkan Kayar, Özer Birge

Pages : 194-202

Doi:10.16919/bozoktip.1682098

View : 55 | Download : 38

Publication Date : 2025-06-15

Article Type : Research Paper

Abstract :Background: The purpose of this study was to examine the impact of myoma size on intraoperative and postoperative clinical results among caesarean section patients who underwent myomectomy. Methods: The results of 34 cases who had caesarean myomectomy were analysed retrospectively. Patients\\\' demographic, clinical, and pathological data was analysed in two categories based on the size of their myomas: those less than 5 cm, those 5 cm and greater than 5 cm. The study analysed many factors including maternal age, gravida, parity, history of abortions, gestational age at delivery, birth weight of the infant, duration of the operation, features of the myoma, pre- and post-operative haemoglobin levels, requirement for blood transfusion, and pathology results. Results: Our study involved performing myomectomy operation concurrently with caesarean delivery in 17 pregnant patients with myomas measuring less than 5 cm and in 17 pregnant patients with myomas measuring greater than 5 cm. The most prevalent kind was corpus localised (79.4%), the most pathologically normal leiomyoma nodule (82.4%), and the most uncommon one was cellular leiomyoma (2.99%). Subserosal myoma was the most common kind, accounting for 64.7% of cases. There were no statistical differences seen between the two groups in terms of age, gestational age, infant weight at delivery, pre- and post-operative haemorrhage, requirement for blood transfusion, myoma location, myoma type, and pathological examination. Upon analysing all clinical data, a statistically significant difference was detected between the two groups when evaluating the operation duration of individuals with myomas measuring under 5 cm and those with myomas measuring 5 cm or greater (45.47±9.94 vs 52.88±11.09) (p:0.048). Conclusion: In proficient medical facilities, the practice of conducting myomectomy during caesarean delivery, irrespective of the size of the myoma, may be regarded as a secure and efficient method in selected patients. It is important to acknowledge that the duration of the operation may be extended as the size of the myoma grows.
Keywords : Sezaryen doğum, Sezaryen myomektomi, Myoma uteri, Myom boyutu, Operasyon süresi.

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