A look at the problem of myomectomy during pregnancy and cesarean section

DOI

https://dx.doi.org/10.18565/aig.2020.8.22-28

Buyanova S.N., Babunashvili E.L., Logutova L.S., Shchukinа N.A., Yudinа N.V., Gukasyan S.A., Kashchuk M.G., Ermolaeva E.E., Akhvlediani K.N., Magilevskaya E.V., Stotskaya T.V.
Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow, Russia

Uterine myoma is a benign tumor, which in 10–30% of cases grows rapidly during gestation and can cause serious complications in both the mother and the fetus. Myomectomy during pregnancy raises many controversial issues. For a better understanding of this surgical problem, a systematic analysis of the data available in modern Russian and foreign literature has been carried out using the databases: eLibrary, Scopus, PubMed, MEDLINE, ScienceDirect, and Cochrane Library from the moment of their creation to December 2019, which shows that abdominal myomectomy in pregnant women is not a common practice with successful rates in the hands of specialists with extensive surgical experience. In recent years, most authors have been inclined to believe that myomectomy during cesarean section does not increase the risk of perioperative bleeding and pyoseptic complications if necessary surgical technique is used.
Conclusion. The problem of myomectomy during pregnancy and cesarean section requires further large-scale randomized trials to assess the risks and benefits of these operations for both the mother and the fetus.

uterine fibroid

abdominal myomectomy

cesarean section

leiomyoma in pregnant women

large myoma

Full text (in Russian)

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Received 15.06.2020

Accepted 19.06.2020

Svetlana N. Buyanova, MD, professor, head of the Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia. Tel.: +7(495)625-71-64. E-mail: buyanova-sn@mail.ru. ORCID: 0000-0002-1358-6640. 101000, Russia, Moscow, Pokrovka str., 22A.
Evgenia L. Babunashvili, candidate of medical sciences, senior researcher of the Moscow Regional Research Institute of Obstetrics and Gynecology,
State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia Tel.: +7(915) 239-46-34. E-mail: babounashvili@mail.ru.
ORCID: 0000-0002-3580-7221. 101000, Russia, Moscow, Pokrovka str., 22A.
Lidia S. Logutova, MD, professor, leading researcher of the educational and methodical department of the Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia. Tel.: +7(495)623-96-96. E-mail: lidialogutova@mail.ru. ORCID: 0000-0001-8806-3273.
101000, Russia, Moscow, Pokrovka str., 22A.
Natalya A. Schukina, MD, professor, chief researcher of the Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia. Tel.: +7(495)623-96-96. E-mail: fluimucil@yandex.ru. ORCID: 0000-0003-2274-4070.
101000, Russia, Moscow, Pokrovka str., 22A.
Natalya V. Yudina, candidate of medical sciences, researcher of the Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia. Tel.: +7(495)623-96-96. E-mail: tatoscha@inbox.ru. ORCID: 0000-0002-7305-6959.
101000, Russia, Moscow, Pokrovka str., 22A.
Svetlana A. Gukasyan, сandidate of Medical Sciences, Researcher of the Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia. Tel.: +7(495)623-96-96. E-mail: guka.85@mail.ru. ORCID: 0000-0002-4352-7676.
101000, Russia, Moscow, Pokrovka str., 22A.
Marina G. Kashchuk, graduate student of the gynecological department GBUZ MO MONIIAG “Moscow Regional Research Institute of Obstetrics and Gynecology”,
Russia, Moscow. Tel.: +7(495)623-96-96. ORCID: 0000-0003-2679-3734.
101000, Russia, Moscow, Pokrovka str., 22A.
Elena E. Ermolaeva, candidate of medical sciences, senior researcher of the of the Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia. Tel.: +7(495)623-96-96. E-mail: ermolaeva2564@mail.ru. ORCID: 0000-0001-8982-4759.
101000, Russia, Moscow, Pokrovka str., 22A.
Ketevan N. Akhvlediani, сandidate of Medical Sciences, Senior Research Fellow of the Physiological Obstetric Department of thе Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia.
Tel.: +7(495)623-00-97. E-mail: akhketi@mail.ru. ORCID: 0000-0003-0776-8980.
101000, Russia, Moscow, Pokrovka str., 22A.
Ekaterina V. Magilevskaya, сandidate of Medical Sciences, Senior Research Fellow of the Physiological Obstetric Department of thе Moscow Regional Research Institute of Obstetrics and Gynecology, State-Funded Health Care Facility of Moscow Region (GBUZ MO MONIIAG), Moscow, Russia.
Tel.: +7(495)623-08-52. E-mail: katerinamag72@mail.ru. ORCID: 0000-0002-2782-7070. 101000, Russia, Moscow, Pokrovka str., 22A.
Tatyana V. Stotskaya, candidate of medical sciences, senior researcher at the obstetric physiological department of the Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow State University, Moscow, Russia. Tel.: +7(495)623-08-52. ORCID: 0000-0002-6853-2746.
101000, Russia, Moscow, Pokrovka str., 22A.

For citation: Buyanova S.N., Babunashvili E.L., Logutova L.S., Shchukinа N.A., Yudinа N.V., Gukasyan S.A., Kashchuk M.G., Ermolaeva E.E., Akhvlediani K.N., Magilevskaya E.V., Stotskaya T.V. A look at the problem of myomectomy during pregnancy and cesarean section.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 8: 22-28 (in Russian).
https://dx.doi.org/10.18565/aig.2020.8.22-28

A look at the problem of myomectomy during pregnancy and cesarean section

Buyanova S.N., Babunashvili E.L., Logutova L.S., Shchukinа N.A., Yudinа N.V., Gukasyan S.A., Kashchuk M.G., Ermolaeva E.E., Akhvlediani K.N., Magilevskaya E.V., Stotskaya T.V.

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