(1214) Intra-Cesarean myomectomies are safe and practical procedures.

Objective:
To determine whether myomectomy during cesarean section is a safe and
practical procedure.

Study Design:
A retrospective cohort study was conducted at a tertiary medical university
center. The study population included women with a documented myomectomy during
cesarean delivery (CD) performed between 1999 and 2018.These were compared with
women who had a standard CD. The control group was composed of patients who had
CD before and after index cases of intra-cesarean myomectomy. We collected and
compared the obstetric characteristics and perinatal outcomes, as well as intraoperative
and postoperative outcomes of the target population.
Data were retrieved from computerized database via electronic health records of the
patients. Cases that lacked detailed reports of surgery and delivery were excluded. Data
were analyzed using a chi-square test for categorical variables and one-way ANOVA for
continuous variables. P < 0.05 was considered statistically significant.

Results:
Seventy-four women were included in the study group and 144 in the control
group. No significant difference was noted in the demographic characteristics of the two
groups. In the myomectomy group, mean maternal age was higher; obstetric history
showed lower parity rates; a higher rate of assisted reproduction treatments; and mean
length of surgery was longer (50.31±15.93 minutes versus 31.42±17.25 minutes, P &lt;
0.001). No other significant differences were noted in intraoperative and immediate
postoperative outcomes. Blood loss during surgery, reoperations, Intensive Care Unit
(ICU) admission rates, emergency room visits, and readmission rates did not differ
significantly.

Conclusion:
Based on our results, while intra-cesarean myomectomy requires longer
operative time than a standard cesarean section, it does not increase the risk of
complications either during or after the procedure.