Year 2020, Volume 59 , Issue 4, Pages 280 - 286 2020-12-30

Myomectomy during cesarean section: Evaluation of perioperative results
Sezaryen sırasında miyomektomi: Perioperatif sonuçların değerlendirilmesi

İsmet HORTU [1] , Feride ALGÜL [2] , Büşra DURMAZ [3] , Ali AKDEMİR [4] , Çağdaş ŞAHİN [5] , Ahmet Mete ERGENOĞLU [6] , Fuat AKERCAN [7]


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.
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
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0003-3833-0999
Author: İsmet HORTU (Primary Author)
Institution: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey
Country: Turkey


Orcid: 0000-0002-8475-2597
Author: Feride ALGÜL
Institution: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey
Country: Turkey


Orcid: 0000-0001-7746-9817
Author: Büşra DURMAZ
Institution: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey
Country: Turkey


Orcid: 0000-0001-8723-5889
Author: Ali AKDEMİR
Institution: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey
Country: Turkey


Orcid: 0000-0001-7346-3987
Author: Çağdaş ŞAHİN
Institution: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey
Country: Turkey


Author: Ahmet Mete ERGENOĞLU
Institution: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey
Country: Turkey


Orcid: 0000-0001-6779-2645
Author: Fuat AKERCAN
Institution: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey
Country: Turkey


Dates

Application Date : June 8, 2020
Acceptance Date : July 14, 2020
Publication Date : December 30, 2020

Bibtex @research article { etd834155, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2020}, volume = {59}, pages = {280 - 286}, doi = {10.19161/etd.834155}, title = {Myomectomy during cesarean section: Evaluation of perioperative results}, key = {cite}, author = {Hortu, İsmet and Algül, Feride and Durmaz, Büşra and Akdemir, Ali and Şahin, Çağdaş and Ergenoğlu, Ahmet Mete and Akercan, Fuat} }
APA Hortu, İ , Algül, F , Durmaz, B , Akdemir, A , Şahin, Ç , Ergenoğlu, A , Akercan, F . (2020). Myomectomy during cesarean section: Evaluation of perioperative results . Ege Tıp Dergisi , 59 (4) , 280-286 . DOI: 10.19161/etd.834155
MLA Hortu, İ , Algül, F , Durmaz, B , Akdemir, A , Şahin, Ç , Ergenoğlu, A , Akercan, F . "Myomectomy during cesarean section: Evaluation of perioperative results" . Ege Tıp Dergisi 59 (2020 ): 280-286 <http://egetipdergisi.com.tr/en/pub/issue/58053/834155>
Chicago Hortu, İ , Algül, F , Durmaz, B , Akdemir, A , Şahin, Ç , Ergenoğlu, A , Akercan, F . "Myomectomy during cesarean section: Evaluation of perioperative results". Ege Tıp Dergisi 59 (2020 ): 280-286
RIS TY - JOUR T1 - Myomectomy during cesarean section: Evaluation of perioperative results AU - İsmet Hortu , Feride Algül , Büşra Durmaz , Ali Akdemir , Çağdaş Şahin , Ahmet Mete Ergenoğlu , Fuat Akercan Y1 - 2020 PY - 2020 N1 - doi: 10.19161/etd.834155 DO - 10.19161/etd.834155 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 280 EP - 286 VL - 59 IS - 4 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.834155 UR - https://doi.org/10.19161/etd.834155 Y2 - 2020 ER -
EndNote %0 Ege Tıp Dergisi Myomectomy during cesarean section: Evaluation of perioperative results %A İsmet Hortu , Feride Algül , Büşra Durmaz , Ali Akdemir , Çağdaş Şahin , Ahmet Mete Ergenoğlu , Fuat Akercan %T Myomectomy during cesarean section: Evaluation of perioperative results %D 2020 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 59 %N 4 %R doi: 10.19161/etd.834155 %U 10.19161/etd.834155
ISNAD Hortu, İsmet , Algül, Feride , Durmaz, Büşra , Akdemir, Ali , Şahin, Çağdaş , Ergenoğlu, Ahmet Mete , Akercan, Fuat . "Myomectomy during cesarean section: Evaluation of perioperative results". Ege Tıp Dergisi 59 / 4 (December 2020): 280-286 . https://doi.org/10.19161/etd.834155
AMA Hortu İ , Algül F , Durmaz B , Akdemir A , Şahin Ç , Ergenoğlu A , Akercan F . Myomectomy during cesarean section: Evaluation of perioperative results. ETD. 2020; 59(4): 280-286.
Vancouver Hortu İ , Algül F , Durmaz B , Akdemir A , Şahin Ç , Ergenoğlu A , Akercan F . Myomectomy during cesarean section: Evaluation of perioperative results. Ege Tıp Dergisi. 2020; 59(4): 280-286.
IEEE İ. Hortu , F. Algül , B. Durmaz , A. Akdemir , Ç. Şahin , A. Ergenoğlu and F. Akercan , "Myomectomy during cesarean section: Evaluation of perioperative results", Ege Tıp Dergisi, vol. 59, no. 4, pp. 280-286, Dec. 2021, doi:10.19161/etd.834155

Authors of the Article
İsmet HORTU [1]
Feride ALGÜL [2]
Büşra DURMAZ [3]
Ali AKDEMİR [4]
Çağdaş ŞAHİN [5]
Ahmet Mete ERGENOĞLU [6]
Fuat AKERCAN [7]