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. 2021 Nov 3;21(1):744.
doi: 10.1186/s12884-021-04226-1.

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

Yan Dai  1 , Li Xia  2 , Jinxiao Lin  3 , Rongli Xu  3 , Wenqiang You  3
Affiliations

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

Yan Dai et al. BMC Pregnancy Childbirth. .

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.

Keywords: Cesarean section; Prognosis; Uterine large fibroids; Uterine myomectomy.

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Conflict of interest statement

No conflict of interest exists in the submission of this manuscript.

Figures

Fig. 1
Fig. 1
Enucleation of hysteromyoma through the upper edge of cesarean section incision. A. Cut to the tumor wall at the most protruding part of the incisal margin; B. The root tissue of the tumor is sutured with 1–0 vicryl in a seperated manner; C-E. Enucleation of hysteromyoma; F. All myomas of the anterior wall of uterus were enucleated
Fig. 2
Fig. 2
Enucleation of hysteromyoma through the lower edge of cesarean section incision. A-C. Large fibroid of anterior wall of lower margin of cesarean section; D. Enucleation of large fibroid in the anterior wall of the lower uterine segment through the lower edge of cesarean section incision; E. Suture the caesarean section of the uterine incision; F. Enucleated large fibroid of uterus
See this image and copyright information in PMC

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