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Fertil Steril. 2006 Jan;85(1):36-9.

Abdominal myomectomy in women with very large uterine size.

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  • 1Department of Obstetrics and Gynecology, St. Vincent's Medical Center, New York, New York, USA.

Abstract

OBJECTIVE:

To evaluate feasibility and safety of abdominal myomectomy with uterine myomas equal to or greater than 16 weeks in size.

DESIGN:

Retrospective chart review.

SETTING:

Private hospital.

PATIENT(S):

Women with uterine fibroids equal to or larger than 16 weeks in size.

INTERVENTION(S):

Abdominal myomectomy performed by one surgeon between March 1, 1998-February 28, 2003.

MAIN OUTCOME MEASURE(S):

Operating time, estimated blood loss, transfusion, cell-saver use, number and weight of fibroids removed, complications, pathology, and hospital stay were evaluated.

RESULT(S):

Ninety-one abdominal myomectomies met criteria. Mean operating time was 236 minutes (range, 120-390 minutes). Mean estimated blood loss was 794 mL (range, 50-3,000 mL). Seven (8%) women required homologous transfusion. Complications included one bowel injury, one bladder injury, one wound infection, and one reoperation for incarcerated small bowel. No woman had a uterine sarcoma or adenocarcinoma, and none required conversion to hysterectomy.

CONCLUSION(S):

Large uterine size does not preclude abdominal myomectomy and the results compare favorably with prior studies of hysterectomy for similar size uteri.

[PubMed - indexed for MEDLINE]
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