{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:52:42Z","timestamp":1791179562980,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the safety and feasibility of cesarean myomectomy in patients with fibroids greater than 5 cm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective case series of 45 patients undergoing cesarean delivery with concurrent myomectomy for fibroids &gt;5 cm at a tertiary care center. Primary outcomes included operative time, estimated blood loss (EBL), hemoglobin drop, transfusion rates, and postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean operative time was 74 min. On average, 2.5 fibroids were removed, with the largest averaging 10.1 cm in diameter. The mean hemoglobin drop was 2.5 g\/dL, significantly associated with fibroid size. Average EBL was 827 mL. No patients required intraoperative transfusion, and only 4.4% required postoperative transfusion. Complication rates were comparable to standard cesarean delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cesarean myomectomy for larger fibroids is feasible and safe within experienced surgical programs, allowing patients to avoid additional surgery without significantly increased risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70445","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T13:37:37Z","timestamp":1755178657000},"page":"1198-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cesarean myomectomy for large uterine fibroids: Surgical outcomes from a single\u2010center case series"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9859-2654","authenticated-orcid":false,"given":"Lacey C.","family":"Brennan","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Toronto  Toronto Ontario Canada"},{"name":"Department of Obstetrics &amp; Gynecology Mount Sinai Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Werger","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Ivanisevic","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sallie","family":"Han","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Tannenbaum","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Toronto  Toronto Ontario Canada"},{"name":"Department of Obstetrics &amp; Gynecology Mount Sinai Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian R.","family":"Hobson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Toronto  Toronto Ontario Canada"},{"name":"Department of Obstetrics &amp; Gynecology Mount Sinai Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Sobel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Toronto  Toronto Ontario Canada"},{"name":"Department of Obstetrics &amp; Gynecology Mount Sinai Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"121","article-title":"\u201cCaesarean myomectomy\u201d; remarks on the operation","volume":"7","author":"Bonney V","year":"1914","journal-title":"Proc R Soc Med"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318197bbaf"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0187821"},{"key":"e_1_2_10_5_1","first-page":"145","article-title":"Cesarean myomectomy in the last ten years; a true shift from contraindication to indication: a systematic review and meta\u2010analysis","volume":"256","author":"Goyal M","year":"2020","journal-title":"EJOG"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13294"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1791816"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002342"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.08.037"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70445","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70445","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:03:49Z","timestamp":1791176629000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,14]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ijgo.70445"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70445","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,14]]},"assertion":[{"value":"2025-05-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}