Please use this identifier to cite or link to this item: https://scholarhub.balamand.edu.lb/handle/uob/7076
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dc.contributor.authorBabunashvili, Evgeniya Leonidovnaen_US
dc.contributor.authorSon, Danil Yurievichen_US
dc.contributor.authorBuyanova, Svetlana Nikolaevnaen_US
dc.contributor.authorSchukina, Natalya Alekseevnaen_US
dc.contributor.authorPopov, Alexander Anatolyevichen_US
dc.contributor.authorChechneva, Marina Alexandrovnaen_US
dc.contributor.authorGlebov, Timur Alekseevichen_US
dc.contributor.authorD'Amato, Antonioen_US
dc.contributor.authorHaydamous, Joeen_US
dc.contributor.authorChiantera, Vitoen_US
dc.contributor.authorLaganà, Antonio Simoneen_US
dc.contributor.authorEtrusco, Andreaen_US
dc.date.accessioned2023-10-23T07:32:04Z-
dc.date.available2023-10-23T07:32:04Z-
dc.date.issued2023-10-08-
dc.identifier.issn2077-0383-
dc.identifier.urihttps://scholarhub.balamand.edu.lb/handle/uob/7076-
dc.description.abstractBackground: The incidence of pregnant women with uterine fibroids is increasing. As they are reactive to hormonal stimuli, in some cases, uterine fibroids tend to grow during pregnancy and potentially generate symptoms with different levels of severity, causing maternal-fetal complications. In very select cases, when other treatment strategies fail to manage symptoms and there is a substantial risk of adverse pregnancy outcomes, a surgical approach during pregnancy may be considered. Methods: From 2016 to 2021, the data from 28 pregnant women with symptomatic uterine fibroids who underwent laparotomic myomectomy during pregnancy were prospectively collected, and operative and maternal-fetal outcomes were analyzed (ClinicalTrial ID: NCT06009562). Results: The procedure was carried out between 14 and 16 weeks of pregnancy. Four (14.3%) patients had intraoperative complications (miscarriages) and nine (32.1%) had postoperative complications (threatened preterm birth). Overall, 24 (85.7%) women delivered at full term (mean: 38.2 gestational weeks), more than half (n = 13; 54.2%) by vaginal delivery, with normal fetal weights and 1 and 5 min Apgar scores. Conclusions: Laparotomic myomectomy during pregnancy can be considered in selected cases for uterine fibroids with severe symptoms when other treatment options have failed and there is high risk of adverse maternal-fetal outcomes.en_US
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.subjectMaternal–fetal outcomesen_US
dc.subjectMyomasen_US
dc.subjectMyomectomyen_US
dc.subjectPregnancyen_US
dc.subjectUterine fibroidsen_US
dc.titleOutcomes of Laparotomic Myomectomy during Pregnancy for Symptomatic Uterine Fibroids: A Prospective Cohort Studyen_US
dc.typeJournal Articleen_US
dc.identifier.doi10.3390/jcm12196406-
dc.identifier.pmid37835049-
dc.identifier.scopus2-s2.0-85173861039-
dc.identifier.urlhttps://api.elsevier.com/content/abstract/scopus_id/85173861039-
dc.contributor.affiliationFaculty of Medicineen_US
dc.description.volume12en_US
dc.description.issue19en_US
dc.date.catalogued2023-10-23-
dc.description.statusPublisheden_US
dc.identifier.openURLhttps://www.mdpi.com/2077-0383/12/19/6406#:~:text=Results%3A%20The%20procedure%20was%20carried,complications%20(threatened%20preterm%20birth).en_US
dc.relation.ispartoftextJournal of Clinical Medicineen_US
Appears in Collections:Faculty of Medicine
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