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Myomectomy during cesarean delivery

dc.contributor.authorSong, Dianrong
dc.contributor.authorZhang, Wei
dc.contributor.authorChames, Mark C.
dc.contributor.authorGuo, Jie
dc.date.accessioned2017-01-10T19:07:14Z
dc.date.available2017-01-10T19:07:14Z
dc.date.issued2013-06
dc.identifier.citationSong, Dianrong; Zhang, Wei; Chames, Mark C.; Guo, Jie (2013). "Myomectomy during cesarean delivery." International Journal of Gynecology & Obstetrics 121(3): 208-213.
dc.identifier.issn0020-7292
dc.identifier.issn1879-3479
dc.identifier.urihttps://hdl.handle.net/2027.42/135417
dc.description.abstractBackgroundThe optimal management of leiomyomas during cesarean delivery is unclear.ObjectivesTo assess the safety of myomectomy performed during cesarean delivery.Search strategyPubMed, MEDLINE, EMBASE, and Cochrane Library were searched to identify potentially relevant studies published prior to June 30, 2012.Selection criteriaCase‐control study comparing myomectomy with no myomectomy in patients undergoing cesarean delivery.Data collection and analysisThe quality of the studies was assessed and data were extracted independently by 2 authors.Main resultsNine studies, including 1 082 women with leiomyomas, met the inclusion criteria; 443 (41.0%) women underwent cesarean myomectomy and 639 (59.1%) underwent cesarean delivery alone. The drop in hemoglobin after surgery was 0.30 g/dL greater in the cesarean myomectomy group than in the control group, but the difference was not significant. The operative time was 4.94 minutes longer in the cesarean myomectomy group, but again the difference was not significant. The overall incidence of fever was comparable in the 2 groups. No hysterectomies were performed in any of the included studies.ConclusionsCesarean myomectomy may be a reasonable option for some women with leiomyoma. However, no definite conclusion can be drawn because the data included in the meta‐analysis were of low quality.
dc.publisherWiley Periodicals, Inc.
dc.publisherCochrane Collaboration
dc.subject.otherMyomectomy
dc.subject.otherCesarean delivery
dc.subject.otherLeiomyoma
dc.subject.otherMeta‐analysis
dc.subject.otherSystematic review
dc.titleMyomectomy during cesarean delivery
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelObstetrics and Gynecology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.contributor.affiliationumDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, USA
dc.contributor.affiliationotherDepartment of Obstetrics and Gynecology, Second Affiliated Hospital of Tianjin, University of Traditional Chinese Medicine, Tianjin, China
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/135417/1/ijgo208.pdf
dc.identifier.doi10.1016/j.ijgo.2013.01.021
dc.identifier.sourceInternational Journal of Gynecology & Obstetrics
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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