Retrospective evaluation of patients who underwent myomectomy during cesarean section

Authors : Hüseyin Aytuğ Avşar, Onur Yavuz, Can Ata, Tevfik Berk Bıldacı, Selçuk Erkılınç
Pages : 176-181
Doi:10.38136/jgon.1576127
View : 57 | Download : 24
Publication Date : 2025-06-30
Article Type : Research Paper
Abstract :Aim: The aim of our study was to evaluate the obstetric and neonatal outcomes of patients who underwent myomectomy at the time of cesarean section (C/S). Materials and Methods: A total of 480 patients aged 19-45 who presented to the gynecology and obstetrics clinic between 2018-2023, underwent pregnancy follow-up and C/S delivery in our hospital, and met the inclusion criteria were included in our study. Myomectomy was performed during C/S in 220 patients included in the study, and it was not performed in 260 patients. Age, number of pregnancies, abortion status, fetal weight at birth, Apgar scores, C/S indication, myoma localization, and hemoglobin values of all patients were compared retrospectively. Results: The number of abortions was significantly higher in the myomectomy (+) group (p<0.01). Mean gestational age at birth was significantly lower in the myomectomy (+) group (p=0.02). Operation time and hospital stay were significantly higher in the myomectomy (+) group (p<0.001). Myoma size was significantly higher in the myomectomy (+) group (p<0.001). Postoperative hemoglobin value was significantly lower in the myomectomy (+) group (p<0.001). Change in hemoglobin value was significantly higher in the myomectomy (+) group (p<0.001). 5th minute Apgar score was significantly lower in the myomectomy (+) group (p=0.22). Fetal weight at birth was significantly lower in the myomectomy (+) group (p=0.046). Conclusion: C/S-myomectomy can be performed safely by an experienced gynecologist. We believe that myomectomy generally does not cause a significant increase in maternal morbidity and mortality. A detailed discussion of the risks associated with the patient should be conducted. Large population and prospective studies are needed to clarify the long-term risks and benefits.
Keywords : doğum, sezaryen, histerektomi, myomektomi

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