Review Article
Myomectomy during Caesarean Birth in Fibroid-Endemic, Low-Resource Settings
| Outcome measures | Subjects | Roman and Tabsh [17] | Brown et al. [25] | Hassiakos et al. [38] | Kwawukume [1] | Kaymak [39] |
| | Cases | 111 | 16 | 47 | 12 | 40 | | Controls | 257 | 16 | 94 | 12 | 80 |
| Blood loss | Cases | 12.6% | 495 mLs (200–1000) | | | 12.5% | Controls | 12.8% | 355 mLs (150–900) | | | 11.3% | P value | 0.95 (NS) | NS | | NS | NS |
| Change in Hb/PCV | Cases | Mean = 5.5% | 1.7 g/dl | | Mean = 1.83 g/dl | | Controls | Mean = 6.1% | 1.4 g/dl | | Mean = 1.73 g/dl | | P value | NS | NS | NS | NS | |
| Blood transfusion | Cases | 1/111 | | NIL | NIL | | Controls | 3/257 | | NIL | NIL | | P value | NS | NS | | | NS |
| Mean operating time (mins) | Cases | 55 | NA | 15 mins longer than control | 62.08 | NA | Controls | 51 | NA | | 50.83 | NA | P value | NS | NA | NS | NS | NA |
| Postoperative fever | Cases | 4.5% | | NA | NA | | Controls | 4.7% | | NA | NA | | P value | NS | NS | NA | NA | NS |
| Hospital stay (days) | Cases | Mean = 3.6 | | | 5 days | | Controls | Mean = 3.4 | | | 5 days | | P value | NS | NS | NS | | |
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mLs: milliliters; NS: not significant (P > 0.05); Hb: haemoglobin concentration; PCV: packed cell volume; g/dl: grammes per deciliter; mins: minutes; NA: not assessed.
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