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- Title
Myom Boyutlarının Sezaryen Myomektomi Sonuçlarına Etkisi.
- Authors
BAYRAM, Feyza; ASLAN, Mehmet Musa
- Abstract
Objective: To investigate the effect of myoma size on intraoperative and postoperative outcomes in patients with cesarean section myomectomy. Materials and Methods: We r etr ospectively analyzed the data of 89 pregnant women who underwent cesarean section myomectomy. Study participants were divided into 2 groups according to fibroid size. Assessment of intramural myomectomy patients was carried out by taking 5 cm as the cutoff value. Maternal age, gestational age, neonatal weight, fibroid characteristics, pre- and postoperative hemogram values, operation time and transfusion need were compared between the two groups. Results: Sixty-five women with myoma size ≤5 cm (Group-1) and 24 women with myoma size >5 cm (Group-2) underwent cesarean section myomectomy. There was no statistically significant difference between the two groups in terms of pre- and post-operative hemoglobin (hb), mean hb values, operation time and hospital stay. The most common fibroids in this study were subserosal fibroids (77.5%) located on the anterior uterine wall (56.1%) with a diameter of 2 to 5 cm (70.7%). Conclusion: Cesar ean section myomectomy per for med by experienced surgeons can be performed as a safe and effective method in selected patients regardless of fibroid size. Moreover, fibroid has a wide spectrum of patients in terms of number, localization, size and patient characteristics. Therefore, treatment should be individualized.
- Publication
Online Turkish Journal of Health Sciences (OTJHS) / Online Türk Sağlık Bilimleri Dergisi, 2022, Vol 7, Issue 3, p371
- ISSN
2459-1467
- Publication type
Article
- DOI
10.26453/otjhs.1039351