Yıl: 2020 Cilt: 59 Sayı: 4 Sayfa Aralığı: 280 - 286 Metin Dili: İngilizce İndeks Tarihi: 21-12-2020

Myomectomy during cesarean section: Evaluation of perioperative results

Öz:
Aim: To compare the perioperative outcomes between patients who underwent myomectomy duringcesarean section and those without myomectomy during cesarean section retrospectively.Materials and Methods: In our study, a total of 187 patients, including 125 patients who underwentmyomectomy (case) during cesarean section and 62 patients who had not undergone myomectomy(control) during cesarean section, were included in our clinic between February 2015- October 2019.Basic demographic characteristics of the patients, gestational week at the time of operation, the meannumber of myoma and size, locations of myoma, mean differences between hemoglobin andhematocrit levels postoperatively, mean operation time, need for erythrocyte transfusion, and meanhospitalization time were retrospectively evaluated.Results: The mean diameter of the myoma in the control group is significantly higher than that of themyomectomy group (5.75 ± 3.71 cm and 4.73 ± 3.76 cm, respectively; p:0.0057). The mean operationtime was 82.81 ± 28.69 min. and 70.08 ± 17.89 min. in the myomectomy and control groups,respectively (p: 0.003). There was no statistically significant difference between the two groups in theother parameters (Mean Hb, Htc differences postoperatively, mean hospitalization time, etc.).Conclusion: Our results support that myomectomy performed during the cesarean section does notincrease perioperative morbidity and may be useful when it is performed by experienced surgeons. Inaddition, myomectomy during cesarean section can decrease the need for secondary surgery due tothe myoma.
Anahtar Kelime:

Sezaryen sırasında miyomektomi: Perioperatif sonuçların değerlendirilmesi

Öz:
Amaç: Sezaryen sırasında miyomektomi yapılan (olgu) ve miyomektomi yapılmayan (kontrol) hastalar arasındaki perioperatif sonuçları retrospektif olarak kıyaslamak. Gereç ve Yöntem: Çalışmamıza kliniğimizde Şubat 2015 – Ekim 2019 tarihleri arasındaki sezaryen sırasında miyomektomi yapılan (olgu) 125 hasta ve sezaryen esnasında miyomektomi yapılmayan (kontrol) 62 hasta olmak üzere toplam 187 hasta dahil edildi. Hastaların temel demografik özellikleri, gebelik haftaları, miyom sayı ve ortalama çapları, yerleşim yerleri, postoperatif hemoglobin ve hematokrit değişiklikleri, operasyon süreleri, eritrosit transfüzyon ihtiyaçları ve hastanede kalış süreleri kıyaslanmıştır. Bulgular: Her iki gruptaki hastalar karşılaştırıldığında miyomektomi yapılmayan gruptaki hastaların ortalama miyom çapları daha yüksek olarak bulundu (miyomektomi yapılanlarda: 4,73 ±3,76 cm, miyomektomi yapılmayanlarda: 5,75 ±3,71 cm; p:0,0057). Operasyon süresi ise miyomektomi yapılan grupta 82,81 ±28,69 dk. iken miyomektomi yapılmayan grupta 70.08 ±17.89 dk. olarak bulundu (p: 0,003). İki grup arasında diğer parametrelerde (ortalama hemoglobin, hematokrit değişiklikleri, hastanede kalış süresi, vb.) istatistiksel olarak anlamlı fark saptanmadı. Sonuç: Sezaryen operasyonu sırasında gerçekleştirilen miyomektominin perioperatif morbiditeyi arttırmadığı ve uygun hasta grubunda tecrübeli ekip tarafından yapıldığında hastanın ikincil bir cerrahi operasyona ihtiyacının azaltması açısından faydalı bir uygulama olabileceği gösterilmiştir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Hortu İ, ALGUL F, Durmaz B, Akdemir A, sahin c, Ergenoğlu A, Akercan F (2020). Myomectomy during cesarean section: Evaluation of perioperative results. , 280 - 286.
Chicago Hortu İsmet,ALGUL FERİDE,Durmaz Büşra,Akdemir Ali,sahin cagdas,Ergenoğlu Ahmet Mete,Akercan Fuat Myomectomy during cesarean section: Evaluation of perioperative results. (2020): 280 - 286.
MLA Hortu İsmet,ALGUL FERİDE,Durmaz Büşra,Akdemir Ali,sahin cagdas,Ergenoğlu Ahmet Mete,Akercan Fuat Myomectomy during cesarean section: Evaluation of perioperative results. , 2020, ss.280 - 286.
AMA Hortu İ,ALGUL F,Durmaz B,Akdemir A,sahin c,Ergenoğlu A,Akercan F Myomectomy during cesarean section: Evaluation of perioperative results. . 2020; 280 - 286.
Vancouver Hortu İ,ALGUL F,Durmaz B,Akdemir A,sahin c,Ergenoğlu A,Akercan F Myomectomy during cesarean section: Evaluation of perioperative results. . 2020; 280 - 286.
IEEE Hortu İ,ALGUL F,Durmaz B,Akdemir A,sahin c,Ergenoğlu A,Akercan F "Myomectomy during cesarean section: Evaluation of perioperative results." , ss.280 - 286, 2020.
ISNAD Hortu, İsmet vd. "Myomectomy during cesarean section: Evaluation of perioperative results". (2020), 280-286.
APA Hortu İ, ALGUL F, Durmaz B, Akdemir A, sahin c, Ergenoğlu A, Akercan F (2020). Myomectomy during cesarean section: Evaluation of perioperative results. Ege Tıp Dergisi, 59(4), 280 - 286.
Chicago Hortu İsmet,ALGUL FERİDE,Durmaz Büşra,Akdemir Ali,sahin cagdas,Ergenoğlu Ahmet Mete,Akercan Fuat Myomectomy during cesarean section: Evaluation of perioperative results. Ege Tıp Dergisi 59, no.4 (2020): 280 - 286.
MLA Hortu İsmet,ALGUL FERİDE,Durmaz Büşra,Akdemir Ali,sahin cagdas,Ergenoğlu Ahmet Mete,Akercan Fuat Myomectomy during cesarean section: Evaluation of perioperative results. Ege Tıp Dergisi, vol.59, no.4, 2020, ss.280 - 286.
AMA Hortu İ,ALGUL F,Durmaz B,Akdemir A,sahin c,Ergenoğlu A,Akercan F Myomectomy during cesarean section: Evaluation of perioperative results. Ege Tıp Dergisi. 2020; 59(4): 280 - 286.
Vancouver Hortu İ,ALGUL F,Durmaz B,Akdemir A,sahin c,Ergenoğlu A,Akercan F Myomectomy during cesarean section: Evaluation of perioperative results. Ege Tıp Dergisi. 2020; 59(4): 280 - 286.
IEEE Hortu İ,ALGUL F,Durmaz B,Akdemir A,sahin c,Ergenoğlu A,Akercan F "Myomectomy during cesarean section: Evaluation of perioperative results." Ege Tıp Dergisi, 59, ss.280 - 286, 2020.
ISNAD Hortu, İsmet vd. "Myomectomy during cesarean section: Evaluation of perioperative results". Ege Tıp Dergisi 59/4 (2020), 280-286.