Cesarean myomectomy in modern obstetrics: More light and fewer shadows

The study aim was to evaluate management of myomas during cesarean section, the pro and cons and the outcomes of cesarean myomectomy. Moreover, we tried to investigate the long‐term outcomes of cesarean myomectomy. The authors conducted a literature review using scientific databases, focusing on the...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2017-05, Vol.43 (5), p.798-804
Main Authors: Sparić, Radmila, Kadija, Saša, Stefanović, Aleksandar, Spremović Radjenović, Svetlana, Likić Ladjević, Ivana, Popović, Jela, Tinelli, Andrea
Format: Article
Language:English
Subjects:
cesarean myomectomy
Cesarean section
Cesarean Section - adverse effects
Cesarean Section - standards
complication
Female
Fibroids
Health risk assessment
Humans
Leiomyoma - surgery
Literature reviews
myoma
Obstetrics
outcome
Pregnancy
Pregnancy complications
Pregnancy Complications, Neoplastic - surgery
Reproduction
Uterine Myomectomy - adverse effects
Uterine Myomectomy - standards
Uterine Neoplasms - surgery
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Summary:The study aim was to evaluate management of myomas during cesarean section, the pro and cons and the outcomes of cesarean myomectomy. Moreover, we tried to investigate the long‐term outcomes of cesarean myomectomy. The authors conducted a literature review using scientific databases, focusing on the benefits and outcomes of cesarean myomectomy and the recent trends regarding this topic, and identified relevant articles, related references and other papers citing them. Despite the demonstrated advantages of cesarean myomectomy, postponed myomectomy after cesarean section was recommended in some instances. Apart from recent reports on the safety and feasibility of cesarean myomectomy, the current literature also describes serious complications of cesarean myomectomy, including even maternal death. This poses a question about the reported rate of complications: whether it is underestimated in common practice. Although some studies strongly suggest the safety of cesarean myomectomy, data on the long‐term outcomes of cesarean myomectomy in women are lacking. The risk–benefit ratio of cesarean myomectomy should be re‐evaluated in the new century, given the increasing patient age, incidence of myoma in pregnancy, and the wide use of assisted reproductive techniques.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.13294