Stručni rad
MYOMECTOMY AT TIME OF CESAREAN DELIVERY
Fatima Al-Hail
; Department of Obstetrics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha-Qatar
Alia Makkiya
; Department of Obstetrics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha-Qatar
Emad Abboud
; Department of Obstetrics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha-Qatar
Sažetak
Objectives. Myomectomy at time of cesarean delivery is traditionally discouraged because of the risk of hemorrhage. A retrospective cohort study was performed to determine whether myomectomy at time of cesarean delivery leads to an increase in the incidence of intrapartum and post partum complications. Methods. Manual search of medical records from January 2000 to December 2006 identified a total of 46 women who underwent myomectomy at time of ¬cesarean delivery. Charts were reviewed for the following variables: change in hematocrit and hemoglobin from pre-operative to post-operative period, length of the operation, intraoperative complications, length of post partum stay, ¬incidence of post partum fever, incidence of hemorrhage and incidence of subsequent pregnancy. Hemorrhage was defined as change in hematocrits of ten points or need for intra-operative or post-operative blood transfusion. Results. The mean size of fibroids was 7.11 ± 5.99, range 1–34 cms. The percentage of hemorrhage encountered in the study group was 8.7%. There was no statistical significance between the mean value of the largest size of the fibroid and -hemorrhage group (P= 0.8), same was found between the mean value of the number of fibroids and the hemorrhage group (P=0.16). None of the patients among the study group had any organ injury, required hysterectomy or SICU admission. Four -patients needed blood transfusion (8.7%). Conclusion. Myomectomy during cesarean delivery is not always ¬hazardous procedure and does not appear to result in an increase risk of intrapartum or short term post partum morbidity, and it can be performed without significant complications by experienced obstetricians.
Ključne riječi
myoma; myomectomy; cesarean section
Hrčak ID:
62193
URI
Datum izdavanja:
1.9.2008.
Posjeta: 2.355 *