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Indian Journal of Obstetrics and Gynecology

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To Study the Safety and Feasibility of Caesarean Myomectomy

Patel Priyanka, Assistant Professor, Department of Obstetrics and Gynecology, Surat Municipal Institute of Medical Education and Research (SMIMER), Surat, Gujarat 395010, India , Majumdar Anamika1 , Patel Priyanka2 , Rajput Priti Singh3 , Kalotra Denisha4 , Shah Aena5 , Vanani Radhika6

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Indian Journal of Obstetrics and Gynecology 7(1):p 9-13, Jan-Mar 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7119.2

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Abstract

 Background: Caesarean myomectomy for decades has been averted due to the fear of increased chances of haemorrhage and post operative morbidity. However, a number of studies have recently shown that myomectomy during caesarean section doesn’t increased the risk of haemorrhage or post-operative morbidity. Method: 16 cases of Caesarean myomectomy are reviewed here. Myomectomy was done, after delivering the baby by lower segment transverse incision followed by suturing with adequate haemostasis. Results: The incidence of haemorrhage in the study group was 12.5%. There was no significant increase in the incidence of operating time (55 min,) of postpartum fever (18.75%), and length of postpartum stay (4.68 days). No hysterectomy was done for Post Partum Haemorrhage. Amount of blood loss was not associated with the size & number of myomas. Conclusions: This study shows that myomectomy in well selected patients during caesarean section is a safe procedure and is not associated with major intra operative and postoperative complications in experienced hands.

Keywords: Caesarean delivery; Fibroid; Myoma; Myomectomy.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7119.2

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