Complications in Cesarean myomectomy at Tu Du hospital: a retrospective study.
Objective: Myomectomy performed during cesarean section is still personality overview of obstetricians. Up to date, there have not enough evidence for safety of performing cesarean myomectomy.
Purpose: to describe the outcome and complications of patients who had or did not have myomectomy in cesarean section.
Method: A retrospective analysis of 87 cases of pregnancy women having myomas was operated at Tu Du Hospital from January 2020 to April 2021.
Results: The total number of cases in our study were 87 of which 24 were myomectomy during operation. Median week of gestation was 38.72. Mean duration of operation was 60.29 minutes. The minimum length of hospital stay was 4 days, but the maximum length was 15 days. Maternal complications included three cases of total hysterectomy because of post-op uterine infection. When the myomectomy during C/S group was compared with the C/S group, the duration of operation in the C/S myomectomy group was longer and this difference was statistically significant (73.96 min vs. 55.08 min; p=0.0001). Although blood loss, intra-operation bleeding more than 1000 mL and the need for blood transfusion was greater in the C/S myomectomy, the difference was no statistically significant with blood loss between the two groups (p < 0.05). There are statistical differences in some fetal outcomes between the two groups, including Apgar score at minute 1 and neonatal birth weight (p< 0.05).
Conclusions: Myomectomy during cesarean section should be an elective procedure although it is possible without life-threatening complications.
Keyword: Caesarean section, Caesarean myomectomy, Myoma
