Cesarean Section Complications
Conditions
Keywords
Cesarean section, Cesarean myomectomy
Brief summary
The present study aims to investigate whether there is a difference in short- and long-term complications in patients undergoing cesarean myomectomy (endometrial or serosal myomectomy) during cesarean section.
Detailed description
Myomectomy is frequently performed during cesarean section. Infertility, myoma recurrence, adhesions , uterine rupture (complete/incomplete), impaired uterine healing (partial or complete dehiscence/poor/good), placental abnormalities, and perinatal complications in subsequent pregnancy are may be associated with cesarean myomectomy. In this study, patients who underwent cesarean myomectomy during cesarean section in our institute were analyzed in a retrospective manner. Patients were divided into three groups as those receiving serosal myomectomy, endometrial myomectomy and those who only underwent cesarean section. The groups were compared with respect to the presence of adhesion formation, time to achieve pregnancy (fertility), morphology of the myomectomy scar, presence of uterine rupture and placental abnormalities.
Interventions
PROCEDURECesarean section with cesarean myomectomy (serosal)
Serosal or endometrial myomectomy performed during cesarean section
PROCEDURECesarean section without myomectomy
Cesarean delivery without performing myoemctomy
Sponsors
Bilge Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 49 Years
Healthy volunteers
No
Inclusion criteria
* Participants should have singleton pregnancy delivered by cesarean section * Cesarean section technique should include: Transverse hysterotomy to enter the uterine cavity, single layer closure of the uterine wall, non-sutured visceral and parietal peritoneum * Myomectomy during cesarean section should include: only patients, who have undergone a single myomectomy and have been applied a single layer suture technique with the preservation of the pseudocapsule-for all cesarean myomectomy cases
Exclusion criteria
* Patients having history of any malignancy * Patients with coagulation disorders * Patients with a history of previous intraabdominal surgery on reproductive organs * Patients with a history of endometriosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complications of cesarean myomectomy | Post-cesarean 12 months | The difference in the rate of complications associated with the cesarean myomectomy (presence of adhesion formation, time to achieve pregnancy (fertility), morphology of the myomectomy scar, presence of uterine rupture and placental abnormalities) in patients undergoing endometrial myomectomy, serosal myomectomy, or not receiving myomectomy during cesarean section |
Countries
Turkey (Türkiye)
Outcome results
None listed