Antepartum myomectomy: a possible procedure for successful outcome

Sabita Sai Chandran, Sunita Samal

Abstract


Though myomas usually remain asymptomatic during pregnancy, in one third of the cases they may increase in size and develop red degeneration. Majority of the cases will respond to medical management and rarely require surgical intervention. Site, size and number of the fibroids and the placental position are the important factors to be considered before intervention. Our case was having fibroid with placental attachment at its base and had features of rapid growth with red degeneration not responding to medical management and hence myomectomy was done in second trimester. In properly evaluated and carefully selected patients the procedure will be successful and improve the pregnancy outcome.


Keywords


Degeneration, Leiomyoma, Management, Myomectomy, Pregnancy

Full Text:

PDF

References


Katz VL, Dotters DJ, Droegemueller W. Complications of uterine leiomyomas in pregnancy. Obstet Gynaecol. 1989;73:593-6.

Rice JP, Kay HH, Mahony BS. The clinical significance of uterine leiomyomas in pregnancy. Am J Obstet Gynaecol. 1989;160:1212-6.

Michalas SP, Oreopoulou FV, Papageorgiou JS. Myomectomy during pregnancy and caesarean section. Hum Reprod. 1995;10:1869-70.

Muram D, Gillieson M, Walters JH. Myomas of the uterus in pregnancy: ultrasonographic follow-up. Am J Obstet Gynaecol. 1980;138:16-9.

Winer-Muram HT, Muram D, Gillieson MS, Ivey BJ, Muggah HF. Uterine myomas in pregnancy. Can Med Assoc J. 1981;128: 949-50.

Burton CA, Grimes DA, March CM. Surgical management of leiomyomata during pregnancy. Obstet Gynaecol. 1989;74:707-9.

Joo JG, Inovay J, Silhavy M and Papp Z. Successful enucleation of a necrotizing fibroid causing oligohydramnios and fetal postural deformity in the 25th week of gestation: a case report. J Reprod Med. 2001;46:923-5.