Surgical management of leiomyomata in pregnancy
Febo, G.; Tessarolo, M.; Leo, L.; Arduino, S.; Wierdis, T.; Lanza, L.
Clinical and Experimental Obstetrics and Gynecology 24(2): 76-78
1997
ISSN/ISBN: 0390-6663 PMID: 9342467 Document Number: 472445
A review was made of the medical records of 26 patients with uterine myomas during pregnancy between 1983 and 1992 among 12,965 deliveries. Thirteen patients underwent myomectomies before pregnancy. In three patients myomectomy was performed during pregnancy between the 12th and the 19th week of pregnancy. In ten patients myomectomy was performed during cesarean section delivery to prevent necrobiosis. Myomectomy should remain exceptional during pregnancy and it must be performed only in selected cases but is frequently used towards the end of a cesarean section. Indications for hysterectomy, on the other hand, remain limited.