Myomectomy during cesarean section and adhesion formation as a long-term postoperative complication.
Ginekol Pol
; 86(6): 457-60, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-26255455
ABSTRACT
OBJECTIVES:
We aimed to evaluate the incidence and features of postoperative adhesion related complications occurring following myolysis or myomectomy performed during cesarean section (C/S).METHODS:
This cross-sectional study consists of four groups of patients who underwent C/S group I; myolysis is performed by electric cauterization for small superficial fibroids less than 2 cm. (n 21), group II; myomectomy is performed for pedunculated fibroids (n 18), group III; myomectomy is performed for intramural/subserous fibroids less than 5 cm. (n 23), group IV control group (n 19) who did not go through myomectomy Repeat C/S is performed to study subjects within 1-5 years. All cases are evaluated in terms of mild to moderate adhesions between omentum and uterus, mild to moderate adnexial area adhesions, mild to moderate incision area adhesions and surgical difficulty due to severe adhesions.RESULTS:
The incidence of adhesions of omentum and uterus (p= 0.278), mild to moderate adnexial area adhesions (p = 0.831), mild to moderate incision area adhesions (p= 0.804) were similar between the intervention groups (group I, II, and III) and the controls (group IV).CONCLUSION:
Cesarean myomectomy is a safe procedure and can be performed without significant postoperative adhesion formation.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Complicações Neoplásicas na Gravidez
/
Neoplasias Uterinas
/
Cesárea
/
Aderências Teciduais
/
Miomectomia Uterina
/
Leiomioma
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article