Myomectomy in adult women of reproductive age: a propensity score-matched study for pregnancy rates

Tinelli, Andrea; Kosmas, Ioannis; Медведєв, М. В.; Malvasi, Antonio; Morciano, Andrea; Sparić, Radmila; Mynbaev, Ospan A.

doi:10.1007/s00404-023-07135-0

Cited by 5 publications

(1 citation statement)

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“…Fibroids can affect up to 70-80% of women who are fertile, of whom 40% exhibit symptoms [1,2], representing also the second most common reason for surgery in premenopausal period [1]. Women are affected by fibroids mainly during the reproductive period, and in certain cases, mass symptoms or suspected leiomyosarcoma may need treatment even after menopause [3]. Operation by myomectomy or hysterectomy is the only treatment that can be used to treat fibroids [2], and both these procedures represent major surgery.…”

Section: Introductionmentioning

confidence: 99%

Cesarean Myomectomy: Reflections on Clinical and Surgical Controversies between a New Trans-Decidual Technique vs. Traditional Method

Sparić,

Andrić,

Guler

et al. 2024

Medicina

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Up to 70–80% of women of reproductive age may be affected with the most common uterine tumors, known as fibroids or myomas. These benign tumors are the second most prevalent cause of surgery among premenopausal women. Predictions show that the occurrence of myomas in pregnancy will increase, and that the risk of having myomas during pregnancy increases with advanced maternal age. Although most women with fibroids do not experience any symptoms during pregnancy, up to 30% of women experience problems during pregnancy, childbirth, and the puerperium. The viability of myoma excision during cesarean surgery (CS) is a contentious issue raised by the rising incidence of myomas in pregnancy and CS rates. A new surgical procedure for removing fibroids using a trans-endometrial approach, which involves making an incision through the decidua itself, has put into doubt the long-standing practice of cesarean myomectomy (CM) with a trans-serosal approach. Some authors have recently advocated for this last approach, highlighting its advantages and potential uses in real-world situations. The purpose of this paper is to critique the present approach to cesarean myomectomy by analyzing the clinical and surgical distinctions between the two approaches and providing illustrations of the CM methods.

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