Long-term obstetric, perinatal, and surgical complications in singleton pregnancies following previous cesarean myomectomy: a retrospective multicentric study

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dc.authoridGULER, OGUZ/0000-0001-7756-4267
dc.authoridUrkmez, Sebati Sinan/0000-0002-8821-1835
dc.contributor.authorGuler, Oguz
dc.contributor.authorHatirnaz, Safak
dc.contributor.authorSparic, Radmila
dc.contributor.authorBasbug, Alper
dc.contributor.authorErol, Onur
dc.contributor.authorKalkan, Uzeyir
dc.contributor.authorUlubasoglu, Hasan
dc.date.accessioned2025-10-11T20:47:49Z
dc.date.available2025-10-11T20:47:49Z
dc.date.issued2024
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjectives The safety of cesarean myomectomy has been proven by previous studies. Our study aimed to reveal the long-term perinatal, obstetric, and surgical outcomes of cesarean myomectomy (CM) by comparing different CM techniques. Material and methods This retrospective multicentric case-control study involved 7 hospitals and included 226 singleton pregnancies that underwent repeated cesarean section (CS) between 2015 and 2020. Among these pregnancies, 113 of 226 cases had CM (Group A), and 113 had only CS (Group B). Of the 113 cases in which CM was performed, 58 underwent endometrial myomectomy (EM) (Subgroup A1) and 55 underwent serosal myomectomy (SM) (Subgroup A2). The groups were compared in terms of obstetric, perinatal, and surgical outcomes, and fibroid recurrence, myomectomy scar healing rate, and adhesion formation were noted. Results There was no significant difference between the groups in terms of maternal age, body mass index, gravidity, parity, and fibroid diameter in previous CS (p > 0.05). In the perinatal and obstetric evaluation of the groups, there was no significant difference between the groups in terms of neonatal weight, Apgar score, fetal growth restriction, preterm premature rupture of membranes, preterm delivery, hypertension in pregnancy, and diabetes mellitus (p > 0.05). The fibroid recurrence rate was 28.3%, and the myomectomy scar good healing rate was 99.1%. There was no difference between the groups in terms of CS duration, preoperative and postoperative hemoglobin levels, perioperative blood transfusion rates, febrile morbidity, and prolonged hospitalization (p > 0.05). In terms of adhesion formation, although the adhesion rate of the SM group was higher than that of the EM group, no statistically significant difference was detected between the groups. Conclusion This study showed that in pregnancies following CM, obstetrical, perinatal, and surgical outcomes were unaffected. Obstetricians can safely use CM, either the trans-endometrial or serosal technique, as it is a safe and effective method with long-term results.en_US
dc.identifier.doi10.3389/fsurg.2024.1430439
dc.identifier.issn2296-875X
dc.identifier.pmid39149134en_US
dc.identifier.scopus2-s2.0-85207088237en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3389/fsurg.2024.1430439
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21594
dc.identifier.volume11en_US
dc.identifier.wosWOS:001291518700001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherFrontiers Media Saen_US
dc.relation.ispartofFrontiers in Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectcesarean myomectomyen_US
dc.subjectendometrial myomectomyen_US
dc.subjectserosal myomectomyen_US
dc.subjectuterine fibroidsen_US
dc.subjectmyoma recurrenceen_US
dc.subjectpregnancyen_US
dc.subjectadhesionsen_US
dc.subjectcomplicationsen_US
dc.titleLong-term obstetric, perinatal, and surgical complications in singleton pregnancies following previous cesarean myomectomy: a retrospective multicentric studyen_US
dc.typeArticleen_US

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