A Comparative Multicentric Study on Serosal and Endometrial Myomectomy During Cesarean Section: Surgical Outcomes

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dc.authoridKalkan, Uzeyir/0000-0001-5223-6697
dc.authoridyassa, murat/0000-0001-8661-1192
dc.authoridTinelli, Andrea/0000-0001-8426-8490
dc.authoridBakay, Kadir/0000-0002-0300-0810
dc.authoridGULER, OGUZ/0000-0001-7756-4267
dc.authoridSahin, Banuhan/0000-0002-8711-1584
dc.authoriderol, onur/0000-0002-7411-1200
dc.authorwosidKalkan, Uzeyir/AAZ-1545-2020
dc.authorwosidyassa, murat/A-3120-2019
dc.authorwosidSahin, Banuhan/A-7957-2017
dc.authorwosidTinelli, Andrea/B-6811-2014
dc.authorwosidBakay, Kadir/H-9018-2018
dc.authorwosiderol, onur/Q-9514-2018
dc.contributor.authorHatirnaz, Safak
dc.contributor.authorGuler, Oguz
dc.contributor.authorBasbug, Alper
dc.contributor.authorCetinkaya, Mehmet Bilge
dc.contributor.authorKanat-Pektas, Mine
dc.contributor.authorBakay, Kadir
dc.contributor.authorKalkan, Uzeyir
dc.date.accessioned2021-12-01T18:51:14Z
dc.date.available2021-12-01T18:51:14Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractObjective: This multi-center study aims to determine the efficiency and safety of endometrial myomectomy (EM) for the removal of uterine fibroids during cesarean section (CS). Methods: Retrospective review of 360 women diagnosed for fibroids during pregnancy. They all delivered by CS between 2014 and 2019. The study groups included 118 women who only underwent EM, 120 women who only had subserosal myomectomy by traditional technique and 122 women with fibroids who decided to avoid cesarean myomectomy, as control group. They were analyzed and compared the surgical outcomes. Results: The EM, subserosal myomectomy and control groups were statistically (p > 0.05) similar for to age, body mass index (BMI), gravidity, parity, gestational age at delivery, indications for CS, number of excised fibroids, size of the largest myoma. Postoperative hemoglobin values and ? (?) hemoglobin concentrations were lower in SM group (10.39gr/dl vs 9.98 gr/dl vs 10.19 - 1.44 gr/dl vs 1.90 gr/dl vs 1.35; p = 0.047, p = 0.021; respectively) Hybrid fibroids were significantly more frequent in the EM group than subserosal myomectomy and control groups (respectively, 33.1% vs 23.3% vs 27.0%, p = 0.002). Surgery time was significantly longer in the subserosal myomectomy group than EM and control groups (respectively, 46.53 min vs 37.88 min vs 33.86 min, p = 0.001). Myomectomy took significantly longer time in the subserosal myomectomy than EM group (13.75 min vs 8.17 min, p = 0.001). Conclusions: Endometrial myomectomy is a feasible choice for treatment of fibroids during CS, and, basing on our results could be an alternative to traditional cesarean subserosal myomectomy.en_US
dc.identifier.doi10.1080/08941939.2020.1725188
dc.identifier.endpage694en_US
dc.identifier.issn0894-1939
dc.identifier.issn1521-0553
dc.identifier.issue7en_US
dc.identifier.pmid32064967en_US
dc.identifier.scopus2-s2.0-85079702589en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage687en_US
dc.identifier.urihttps://doi.org/10.1080/08941939.2020.1725188
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10984
dc.identifier.volume34en_US
dc.identifier.wosWOS:000514513400001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Incen_US
dc.relation.ispartofJournal Of Investigative Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndometrial myomectomyen_US
dc.subjectserosal myomectomyen_US
dc.subjectcesarean sectionen_US
dc.subjectfibroidsen_US
dc.subjectleiomyomaen_US
dc.subjectpregnancyen_US
dc.subjectUterine Artery Ligationen_US
dc.subjectPregnant-Womenen_US
dc.subjectRisk-Factorsen_US
dc.subjectBlood-Lossen_US
dc.subjectComplicationsen_US
dc.subjectLeiomyomasen_US
dc.subjectMyomasen_US
dc.subjectImpacten_US
dc.titleA Comparative Multicentric Study on Serosal and Endometrial Myomectomy During Cesarean Section: Surgical Outcomesen_US
dc.typeArticleen_US

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