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Hass?akos, D., Christopoulos, P., Vitoratos, N., Xarchoulakou, E., Vaggos, G. and Papadias, K. (2006) Myomectomy during Cesarean Section: A Safe Procedure? Annals of the New York Academy of Sciences, 1092, 408-413. doi:10.1196/annals.1365.038

has been cited by the following article:

• TITLE: Unavoidable myomectomy during cesarean section: a case report

  AUTHORS: Ayse Nur Aksoy, Kemal Tolga Saracoglu, Mehmet Aksoy, Ayten Saracoglu

  KEYWORDS: Pregnancy; Cesarean Section; Myoma

  JOURNAL NAME: Health, Vol.3 No.3, March 18, 2011

  ABSTRACT: Since myomectomy throughout cesarean deliv- ery may lead to hemorrhage and uterinal atony, it is not recommended. But, myomectomy has been reported during cesarean section in recent studies. We presented a patient with large in- tramural myoma who was diagnosed at 34 weeks of pregnancy and operated with an unavoidable cesarean-combined myomectomy. A 33-year-old unpursued primigravida was referred to emer- gency department with abdominal pain and amenorrhea of 34 weeks duration. A sonographic diagnosis of myoma in pregnancy was made. Cesarean section was required for fetal distress and alive 2300 g weighted male infant with Ap- gar score of 6 at one minute, was born. As uterine incision could not be closed because of the myoma, myomectomy was performed dur- ing cesarean section unavoidably. A single 970 g and 15 × 18 cm sized myoma was removed. The physical examinations were unremarkable in the postoperative period. Although there are case series that have demonstrated the safety of myomectomy during cesarean section, we con-cluded that myomectomy during cesarean section is not a safe procedure accept inevitable situa-tions.