caa a22 4500 445307528 CHVBK 20180317142618.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1760-2 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1760-2 Myomectomy using purse-string suture during cesarean section [Elektronische Daten] [Jeong-Heon Lee, Dong-Hyu Cho] Background: Conventionally, myomectomy during cesarean section is reserved only for pedunculated myomas because resection of myomas at the time of cesarean section usually stimulates profuse bleeding. Cases: Thirty-one patients underwent myomectomy using purse-string suture during cesarean section. Myoma could be excised without profuse bleeding, while an assistant maintains strong tension on the purse-string suture around the myoma. The suture was tightened and tied immediately after complete resection of the myoma and then stitches of another purse-string suture were placed alternately with each previous stitch in the inner side of the first suture. We have used this method for more than 3years and have not observed failures and serious complications, such as late hemorrhage and uterine rupture during a subsequent pregnancy. Conclusion: Myomectomy using purse-string suture during cesarean section is a safe, useful, and convenient technique. Springer-Verlag, 2010 Myomectomy nationallicence Purse-string suture nationallicence Cesarean section nationallicence Lee Jeong-Heon Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, 634-18, Keumam Dong, Dukjin gu, Jeonju, 561-712, Jeonbuk, South Korea aut Cho Dong-Hyu Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, 634-18, Keumam Dong, Dukjin gu, Jeonju, 561-712, Jeonbuk, South Korea aut Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 35-37 0932-0067 283<35 2011 283 404 https://doi.org/10.1007/s00404-010-1760-2 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1760-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee Jeong-Heon Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, 634-18, Keumam Dong, Dukjin gu, Jeonju, 561-712, Jeonbuk, South Korea aut NATIONALLICENCE 700 1- Cho Dong-Hyu Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, 634-18, Keumam Dong, Dukjin gu, Jeonju, 561-712, Jeonbuk, South Korea aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 35-37 0932-0067 283<35 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer