Myomectomy during cesarean section: Evaluation of perioperative results

İsmet Hortu; Feride Algül; Büşra Durmaz; Ali Akdemir; Çağdaş Şahin; Ahmet Ergenoğlu; Fuat Akercan

doi:10.19161/etd.834155

TR EN

Sezaryen sırasında miyomektomi: Perioperatif sonuçların değerlendirilmesi

Öz

Amaç: Sezaryen sırasında miyomektomi yapılan (olgu) ve miyomektomi yapılmayan (kontrol) hastalar arasındaki perioperatif sonuçları retrospektif olarak kıyaslamak. Gereç ve Yöntem: Çalışmamıza kliniğimizde Şubat 2015 – Ekim 2019 tarihleri arasındaki sezaryen sırasında miyomektomi yapılan (olgu) 125 hasta ve sezaryen esnasında miyomektomi yapılmayan (kontrol) 62 hasta olmak üzere toplam 187 hasta dahil edildi. Hastaların temel demografik özellikleri, gebelik haftaları, miyom sayı ve ortalama çapları, yerleşim yerleri, postoperatif hemoglobin ve hematokrit değişiklikleri, operasyon süreleri, eritrosit transfüzyon ihtiyaçları ve hastanede kalış süreleri kıyaslanmıştır. Bulgular: Her iki gruptaki hastalar karşılaştırıldığında miyomektomi yapılmayan gruptaki hastaların ortalama miyom çapları daha yüksek olarak bulundu (miyomektomi yapılanlarda: 4,73 ±3,76 cm, miyomektomi yapılmayanlarda: 5,75 ±3,71 cm; p:0,0057). Operasyon süresi ise miyomektomi yapılan grupta 82,81 ±28,69 dk. iken miyomektomi yapılmayan grupta 70.08 ±17.89 dk. olarak bulundu (p: 0,003). İki grup arasında diğer parametrelerde (ortalama hemoglobin, hematokrit değişiklikleri, hastanede kalış süresi, vb.) istatistiksel olarak anlamlı fark saptanmadı. Sonuç: Sezaryen operasyonu sırasında gerçekleştirilen miyomektominin perioperatif morbiditeyi arttırmadığı ve uygun hasta grubunda tecrübeli ekip tarafından yapıldığında hastanın ikincil bir cerrahi operasyona ihtiyacının azaltması açısından faydalı bir uygulama olabileceği gösterilmiştir

Anahtar Kelimeler

Myomectomy during cesarean section: Evaluation of perioperative results

Abstract

Aim: To compare the perioperative outcomes between patients who underwent myomectomy during cesarean section and those without myomectomy during cesarean section retrospectively. Materials and Methods: In our study, a total of 187 patients, including 125 patients who underwent myomectomy (case) during cesarean section and 62 patients who had not undergone myomectomy (control) during cesarean section, were included in our clinic between February 2015- October 2019. Basic demographic characteristics of the patients, gestational week at the time of operation, the mean number of myoma and size, locations of myoma, mean differences between hemoglobin and hematocrit levels postoperatively, mean operation time, need for erythrocyte transfusion, and mean hospitalization time were retrospectively evaluated. Results: The mean diameter of the myoma in the control group is significantly higher than that of the myomectomy group (5.75 ± 3.71 cm and 4.73 ± 3.76 cm, respectively; p:0.0057). The mean operation time was 82.81 ± 28.69 min. and 70.08 ± 17.89 min. in the myomectomy and control groups, respectively (p: 0.003). There was no statistically significant difference between the two groups in the other parameters (Mean Hb, Htc differences postoperatively, mean hospitalization time, etc.). Conclusion: Our results support that myomectomy performed during the cesarean section does not increase perioperative morbidity and may be useful when it is performed by experienced surgeons. In addition, myomectomy during cesarean section can decrease the need for secondary surgery due to the myoma.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

İsmet Hortu ^*
0000-0003-3833-0999
Türkiye

Feride Algül
0000-0002-8475-2597
Türkiye

Büşra Durmaz
0000-0001-7746-9817
Türkiye

Ali Akdemir
0000-0001-8723-5889
Türkiye

Çağdaş Şahin
0000-0001-7346-3987
Türkiye

Ahmet Ergenoğlu
0000-0002-4804-3232
Türkiye

Fuat Akercan
0000-0001-6779-2645
Türkiye

Publication Date

December 30, 2020

Submission Date

June 8, 2020

Acceptance Date

July 14, 2020

Published in Issue

Year 2020 Volume: 59 Number: 4

DOI

https://doi.org/10.19161/etd.834155

IZ

https://izlik.org/JA66ET94WD

Cite

RIS / Bibtex

Vancouver

1.İsmet Hortu, Feride Algül, Büşra Durmaz, Ali Akdemir, Çağdaş Şahin, Ahmet Ergenoğlu, Fuat Akercan. Myomectomy during cesarean section: Evaluation of perioperative results. EJM. 2020 Dec. 1;59(4):280-6. doi:10.19161/etd.834155