Myomectomy during cesarean section: is it a safe procedure?

Objective: To evaluate the relationship between intraoperative and postoperative complications of the myomectomy procedure performed during cesarean section. Methods: Our study included 280 patients who had undergone cesarean section at Obstetrics and Gynecology Clinic of Düzce University. The study group was comprised of 45 patients who had undergone myomectomy during cesarean section. The remaining 235 patients having had only cesarean section constituted the control group. Results: When the groups were compared, the duration of the operation was longer in the group with both myomectomy and cesarean section (49.5 min vs. 44.3 min; p=0.002). No statistically significant difference was found between the groups in terms of postoperative hemoglobin levels, decrease in hemoglobin levels or intraoperative and postoperative complications. Conclusion: Myomectomy during cesarean section was not associated with increased blood transfusion, postpartum hemorrhage or postoperative complications and only differed from the cesarean section group in the duration of the operation. Myomectomy during cesarean section performed by experienced surgeons can be a safe surgical procedure.