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Use of the base purse-string suture approach to remove giant uterine fibroids during cesarean section.


ABSTRACT: OBJECTIVE:This study aimed to investigate the optimal strategy for myomectomy for removing giant uterine fibroids when necessary in women undergoing cesarean section. METHODS:This study was retrospective in design, and assessed outcomes in 26 patients who underwent myomectomy using a "base purse-string suture" during cesarean section. The operative duration, blood loss, uterine involution, and duration of postpartum lochia were analyzed. RESULTS:This suture was associated with a mean operative duration of 11.17?±?5.36 minutes and the mean estimated blood loss was 11.15?±?6.05 mL. The mean postpartum duration of lochia was 34.92?±?7.55 days and there were no cases of postpartum hemorrhage. Uterine size returned to normal within 6 weeks of delivery, without any apparent defects or abnormalities in the uterine wall as shown by an ultrasonic examination. CONCLUSION:This novel implementation of a base purse-string suture during cesarean myomectomy for removal of giant fibroids is a simple, safe, and effective intervention that should be considered for implementation in appropriate patients.

SUBMITTER: Liu D 

PROVIDER: S-EPMC7783271 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Use of the base purse-string suture approach to remove giant uterine fibroids during cesarean section.

Liu Dan D   Han Min M   Huang Pu P   Li Chunfang C   Li Xuelan X  

The Journal of international medical research 20191231 4


<h4>Objective</h4>This study aimed to investigate the optimal strategy for myomectomy for removing giant uterine fibroids when necessary in women undergoing cesarean section.<h4>Methods</h4>This study was retrospective in design, and assessed outcomes in 26 patients who underwent myomectomy using a "base purse-string suture" during cesarean section. The operative duration, blood loss, uterine involution, and duration of postpartum lochia were analyzed.<h4>Results</h4>This suture was associated w  ...[more]

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