2022 Volume 74 Issue 3 Pages 318-323
In this study, obstetrical outcomes after a laparoscopic myomectomy were investigated. Thirty-seven cases with a cesarean section procedure performed after a laparoscopic myomectomy (LM group) from 2015 to 2019 at our institution were retrospectively reviewed. To compare outcomes of case with and without uterine surgery, 32 breech cesarean section patients who had not undergone a previous cesarean section or myomectomy (NS group), and 82 cesarean section patients who had undergone a previous cesarean section (RCS group) during the same period were also analyzed. Maternal age was significantly higher in the LM (median age 36 years) as compared with the NS (33 years, P=0.01) group, and uterine myoma was detected significantly more frequently in the LM(24.3%)than in the RCS (2.4%, P<0.001) group. Operation time was significantly longer in the RCS group (median 69 minutes) as compared to the NS (58 minutes, P=0.0014) and LM (57 minutes, P<0.001) groups. Perioperative hemorrhage occurrence was significantly more frequent in the LM (median 810 mL) as compared with the RCS (704 mL, P=0.04) group. Patients and physicians should be aware of increased risk of perioperative hemorrhage during a cesarean section performed after a laparoscopic myomectomy. [Adv Obstet Gynecol, 74 (3) : 318-323, 2022 (R4.8)]
