Study on the method of enucleation of anterior uterine fibroids by transverse incision of the lower uterine segment during cesarean section

Abstract

Introduction A retrospective study was conducted to investigate the effectiveness and feasibility of fibroid enucleation in the anterior wall of the uterus by transverse uterine incision during cesarean section. Methods The medical history, surgical data, preoperative and postoperative changes in the blood system, and complications of 90 pregnant women who underwent myomectomy of the anterior uterine wall during cesarean section at the second Department of Maternal and Child Health Hospital of Fujian Province were analyzed retrospectively. Results No significant differences were noted in the leiomyoma number, pathological type, preoperative and postoperative hemoglobin level, perioperative bleeding incidence, blood transfusion frequency, postoperative fever incidence, and duration of lochia between the study and control groups. The proportion of large fibroids was slightly higher in the study group than in the control group (p < 0.05), and the operation time and average hospitalization time were slightly longer in the study group than in the control group (p < 0.05). The distribution of type III–V fibroids was slightly more in the study group than in the control group (p < 0.05), and the distribution of type VI fibroids in the study group was less than that in the control group (p < 0.05). Conclusion Fibroid enucleation is safe and effective in the anterior wall of the uterus through the lower uterine transverse incision in cesarean section. It has the potential to reduce the risk of pelvic and intrauterine adhesions in the future.

Coexisting fibroid in pregnancy and its labour outcome in Nigeria

“…This is comparable to 10.7% prevalence from a previous study and higher than 0.75% and 2.65% from related studies [5,9,17]. A range of 1.6 to 16.7% has been reported in earlier studies on coexisting fibroid in pregnancy [7,19].…”

Outcomes of cesarean myomectomy via trans-endometrial approach in women with single intramural fibroid in the posterior uterine wall

“…The principle of this procedure is squeezing the tumor in the direction of the lower uterine incision, then cut to the tumor wall at the most protruding part of the incisal margin, thus the tumor can be removed without additional incisions on the surface of the uterus. Previous studies have con rmed the e cacy of broids removal by transverse incision of lower uterine segment [23], the perioperative indicators such as intraoperative blood loss, blood transfusion rate and postoperative fever rate were not signi cantly different from those of the control group who underwent conventional trans-serosal method to remove the broids. However, the disadvantages of this procedure are obvious, as it cannot deal with broids in the posterior wall and those in the upper part of the uterine corpus and at the fundus, which are distant from the incision margin.…”