Abstract

The aim of this study is to evaluate the intra and post-operative risks of myomectomies during cesarean section. It was reported that it would be better to avoid myomectomies at cesarean section unless the myoma are pedunculated and can easily be excised considering the risk of uncontrolw x lable hemorrhage 1 . In this study, we report our experience of 22 myomectomies performed for Ž . large myomas )5 cm during cesarean section, between May 1994 and September 1998 at the Department of Gynecology in Ankara University Hospital. Indications for myomectomies include: Ž patients’ desire, symptomatic pain, labor obstruc. tion malpresentation myomas, probability of adverse effect for future pregnancies, and post-operative complications. Our technique comprises performing a linear uterine incision as well as possible on the most prominent part of the leiomyoma avoiding sec-

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