医学
肌瘤
子宫肌瘤切除术
失血
外科
输血
术后发热
平滑肌瘤
回顾性队列研究
怀孕
子宫
经皮
遗传学
生物
内科学
作者
Suna Yıldırım Karaca,Sercan Kantarcı,Mehmet Adıyeke,Sertaç Bulut,Aykut Özcan,Ayşe Rabia Şenkaya,Alper İleri
标识
DOI:10.1016/j.ejogrb.2021.10.019
摘要
To compare the surgical results of transendometrial myomectomy (TEM) and conventional myomectomy (CM) procedures for fibroid in cesarean section.This retrospective study was conducted with computer-based medical records of patients who underwent myomectomy during cesarean section between January 2013 and March 2019. During the study period, 41 patients underwent transendometrial myomectomy, and 52 patients with had conventional myomectomy. In all patients included in the study, myoma was single, intramural, and localized in the anterior of the uterus.The total duration of surgery was shorter in the TEM group than in the CM group (50,5 ± 10 min vs 63,6 ± 15,2, p = 0,001). There was no difference in terms of length of hospital stay, procedure-related hemoglobin difference, blood transfusion requirement and postoperative fever (respectively, p = 0,65, p = 0,81, p = 0,33 and p = 0,9). Patients who underwent TEM (0.58 ± 0.61) had significantly lower adhesion scores in their subsequent pregnancy compared to patients who underwent CM (1,76 ± 1,1) (p = 0,001).Transendometrial myomectomy technique seems to be more advantageous in selected patients compared to the conventional technique due to the shorter operation time.
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