DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20196059

The inevitable and incidental caesarian myomectomy

Vinita Sarbhai

Abstract


The management of fibroid encountered during caesarean remains controversial. The traditional approach has always been, not to perform myomectomy, because of the fear of haemorrhage due to increased vascularity and uterine atonicity of pregnant uterus and increased morbidity. Caesarean section was performed in 27-year G2P1 in view of previous LSCS, short inter-conception period, frank leaking and poor bishop score. After delivery of baby a fibroid of 6 cm by 5 cm was seen jutting out of left side of incision line. Myomectomy was performed, without any complication, as it was not possible to approximate the incision line without that. No excessive hemorrhage or postoperative complications were encountered.

Keywords


Caesarian myomectomy, Fibroid, Gravid uterus, LSCS, Myoma

Full Text:

PDF

References


Kant A, Manuja S, Pandey R. Cesarean myomectomy. The J Obstet Gynecol India. 2007;57(2):128-30.

Roman AS, Tabsh KMA. Myomectomy at time of cesarean delivery; a retrospective cohort study. BMC Preg Child Birth. 2004;4:14-7.

Agarwal K, Agarwal L, Agarwal A. Caesarean myomectomy: prospective study. NJIRM. 2011;2(3):11-4.

Machado LS, Gowri V, Al-Riyami N, Al-Kharusi L. Caesarean myomectomy: feasibility and safety. Sultan Qaboos University Med J. 2012;12(2):190-6.

Awoleke JO. Myomectomy during caesarean birth in fibroid-endemic, low-resource settings. Obstet Gynecol Int. 2013;520834:1-6.