Myomectomy during cesarean section.

Abstract Objective To evaluate the outcome of myomectomy during cesarean section and to compare it with a control group. Materials and methods Using a retrospective case-control design; 40 patients who underwent myomectomy at time of cesarean delivery were compared with the control group consisted of 80 patients with myomas who underwent cesarean delivery alone. Results The mean size of fibroids removed was 8.1±4.7 cm (range, 3–25 cm). In control group it was 5.7±2.7 cm (range, 2–14 cm). The incidence of hemorrhage in the study group was 12.5% as compared with 11.3% in the control group ( p >0.05). There was also no significant differences in the incidence of postoperative fewer and frequency of blood transfusion between myomectomy and control groups ( p >0.05). Conclusion Myomectomy during cesarean section is not always a hazardous procedure and it can be performed without significant complications by experienced obstetricians.