Premium
Cesarean myomectomy in modern obstetrics: More light and fewer shadows
Author(s) -
Sparić Radmila,
Kadija Saša,
Stefanović Aleksandar,
Spremović Radjenović Svetlana,
Likić Ladjević Ivana,
Popović Jela,
Tinelli Andrea
Publication year - 2017
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13294
Subject(s) - medicine , myoma , maternal morbidity , obstetrics , uterine rupture , incidence (geometry) , pregnancy , cesarean delivery , uterus , physics , biology , optics , genetics
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.