Jeong-Heon Lee1, Dong-Hyu Cho. 1. Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, 634-18, Keumam Dong, Dukjin gu, Jeonju, Jeonbuk, 561-712, South Korea. jh.lee@jbnu.ac.kr
Abstract
BACKGROUND: Conventionally, myomectomy during cesarean section is reserved only for pedunculated myomas because resection of myomas at the time of cesarean section usually stimulates profuse bleeding. CASES: Thirty-one patients underwent myomectomy using purse-string suture during cesarean section. Myoma could be excised without profuse bleeding, while an assistant maintains strong tension on the purse-string suture around the myoma. The suture was tightened and tied immediately after complete resection of the myoma and then stitches of another purse-string suture were placed alternately with each previous stitch in the inner side of the first suture. We have used this method for more than 3 years and have not observed failures and serious complications, such as late hemorrhage and uterine rupture during a subsequent pregnancy. CONCLUSION: Myomectomy using purse-string suture during cesarean section is a safe, useful, and convenient technique.
BACKGROUND: Conventionally, myomectomy during cesarean section is reserved only for pedunculated myomas because resection of myomas at the time of cesarean section usually stimulates profuse bleeding. CASES: Thirty-one patients underwent myomectomy using purse-string suture during cesarean section. Myoma could be excised without profuse bleeding, while an assistant maintains strong tension on the purse-string suture around the myoma. The suture was tightened and tied immediately after complete resection of the myoma and then stitches of another purse-string suture were placed alternately with each previous stitch in the inner side of the first suture. We have used this method for more than 3 years and have not observed failures and serious complications, such as late hemorrhage and uterine rupture during a subsequent pregnancy. CONCLUSION: Myomectomy using purse-string suture during cesarean section is a safe, useful, and convenient technique.