Morbidity associated with abdominal myomectomy

Annette I. Lamorte, Sasmira Lalwani, Michael Peter Diamond

Research output: Contribution to journalArticle

146 Citations (Scopus)

Abstract

Objective: To review the recent experience at Yale-New Haven Hospital with abdominal myomectomy and to assess morbidity associated with the procedure. Methods: The hospital records of 128 women who underwent abdominal myomectomies during a 39-month period were reviewed retrospectively. Particular attention was given to blood transfusion requirement and the febrile morbidity rate. Results: The average (± standard error of the mean) intraoperative estimated blood loss was 342 ± 37 mL. Five cases (4%) had an estimated blood loss greater than 1000 mL. Intraoperative or postoperative transfusion occurred in 26 cases (20%); 70% of the transfused patients received autologous blood only. The operation was converted intraoperatively to a hysterectomy in one case. There were no other intraoperative complications. Febrile morbidity occurred in 15 patients (12%). Three women (2%) experienced postoperative complications including paralytic ileus, wound infection, and deep venous thrombosis. Conclusion: Febrile morbidity and blood transfusions associated with abdominal myomectomy appear to occur at an acceptably low rate, especially when unnecessary blood transfusions are excluded. These findings should modify the way patients are counseled before abdominal myomectomy.

Original languageEnglish (US)
Pages (from-to)897-900
Number of pages4
JournalObstetrics and Gynecology
Volume82
Issue number6
StatePublished - Jan 1 1993

Fingerprint

Uterine Myomectomy
Blood Transfusion
Morbidity
Fever
Intestinal Pseudo-Obstruction
Hospital Records
Intraoperative Complications
Wound Infection
Hysterectomy
Venous Thrombosis

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Morbidity associated with abdominal myomectomy. / Lamorte, Annette I.; Lalwani, Sasmira; Diamond, Michael Peter.

In: Obstetrics and Gynecology, Vol. 82, No. 6, 01.01.1993, p. 897-900.

Research output: Contribution to journalArticle

Lamorte, AI, Lalwani, S & Diamond, MP 1993, 'Morbidity associated with abdominal myomectomy', Obstetrics and Gynecology, vol. 82, no. 6, pp. 897-900.
Lamorte, Annette I. ; Lalwani, Sasmira ; Diamond, Michael Peter. / Morbidity associated with abdominal myomectomy. In: Obstetrics and Gynecology. 1993 ; Vol. 82, No. 6. pp. 897-900.
@article{7d19a4349869412aa045e796538d67f4,
title = "Morbidity associated with abdominal myomectomy",
abstract = "Objective: To review the recent experience at Yale-New Haven Hospital with abdominal myomectomy and to assess morbidity associated with the procedure. Methods: The hospital records of 128 women who underwent abdominal myomectomies during a 39-month period were reviewed retrospectively. Particular attention was given to blood transfusion requirement and the febrile morbidity rate. Results: The average (± standard error of the mean) intraoperative estimated blood loss was 342 ± 37 mL. Five cases (4{\%}) had an estimated blood loss greater than 1000 mL. Intraoperative or postoperative transfusion occurred in 26 cases (20{\%}); 70{\%} of the transfused patients received autologous blood only. The operation was converted intraoperatively to a hysterectomy in one case. There were no other intraoperative complications. Febrile morbidity occurred in 15 patients (12{\%}). Three women (2{\%}) experienced postoperative complications including paralytic ileus, wound infection, and deep venous thrombosis. Conclusion: Febrile morbidity and blood transfusions associated with abdominal myomectomy appear to occur at an acceptably low rate, especially when unnecessary blood transfusions are excluded. These findings should modify the way patients are counseled before abdominal myomectomy.",
author = "Lamorte, {Annette I.} and Sasmira Lalwani and Diamond, {Michael Peter}",
year = "1993",
month = "1",
day = "1",
language = "English (US)",
volume = "82",
pages = "897--900",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Morbidity associated with abdominal myomectomy

AU - Lamorte, Annette I.

AU - Lalwani, Sasmira

AU - Diamond, Michael Peter

PY - 1993/1/1

Y1 - 1993/1/1

N2 - Objective: To review the recent experience at Yale-New Haven Hospital with abdominal myomectomy and to assess morbidity associated with the procedure. Methods: The hospital records of 128 women who underwent abdominal myomectomies during a 39-month period were reviewed retrospectively. Particular attention was given to blood transfusion requirement and the febrile morbidity rate. Results: The average (± standard error of the mean) intraoperative estimated blood loss was 342 ± 37 mL. Five cases (4%) had an estimated blood loss greater than 1000 mL. Intraoperative or postoperative transfusion occurred in 26 cases (20%); 70% of the transfused patients received autologous blood only. The operation was converted intraoperatively to a hysterectomy in one case. There were no other intraoperative complications. Febrile morbidity occurred in 15 patients (12%). Three women (2%) experienced postoperative complications including paralytic ileus, wound infection, and deep venous thrombosis. Conclusion: Febrile morbidity and blood transfusions associated with abdominal myomectomy appear to occur at an acceptably low rate, especially when unnecessary blood transfusions are excluded. These findings should modify the way patients are counseled before abdominal myomectomy.

AB - Objective: To review the recent experience at Yale-New Haven Hospital with abdominal myomectomy and to assess morbidity associated with the procedure. Methods: The hospital records of 128 women who underwent abdominal myomectomies during a 39-month period were reviewed retrospectively. Particular attention was given to blood transfusion requirement and the febrile morbidity rate. Results: The average (± standard error of the mean) intraoperative estimated blood loss was 342 ± 37 mL. Five cases (4%) had an estimated blood loss greater than 1000 mL. Intraoperative or postoperative transfusion occurred in 26 cases (20%); 70% of the transfused patients received autologous blood only. The operation was converted intraoperatively to a hysterectomy in one case. There were no other intraoperative complications. Febrile morbidity occurred in 15 patients (12%). Three women (2%) experienced postoperative complications including paralytic ileus, wound infection, and deep venous thrombosis. Conclusion: Febrile morbidity and blood transfusions associated with abdominal myomectomy appear to occur at an acceptably low rate, especially when unnecessary blood transfusions are excluded. These findings should modify the way patients are counseled before abdominal myomectomy.

UR - http://www.scopus.com/inward/record.url?scp=0027378272&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027378272&partnerID=8YFLogxK

M3 - Article

VL - 82

SP - 897

EP - 900

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 6

ER -