Open Access: View PDF

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

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.

Corresponding Author : Patel Priyanka, Assistant Professor, Department of Obstetrics and Gynecology, Surat Municipal Institute of Medical Education and Research (SMIMER), Surat, Gujarat 395010, India