Caesarean myomectomy: a descriptive study of clinical outcome
Keywords:
Caesarean section, Leiomyoma, MyomectomyAbstract
Background: The objective was to analyse the clinical outcome of caesarean myomectomy and to evaluate the safety of performing the procedure.
Methods: A total of 23 cases of caesarean myomectomy, conducted in Institute of Medical Science and Sum Hospital Odisha, between January 2008 to December 2012 were analysed.
Results: In this study, out of 23 cases one case needed hysterectomy and another one required relaparotomy. Puerperal pyrexia and sepsis was found in 8.6% cases and 60.8% cases had post-operative anaemia. Intra operative haemorrhage was more than 1000 ml in 82.6% cases though only30.4% cases required blood transfusion. Hospital stay in all patients was on average 8 days post-operatively. There was no maternal or perinatal mortality.
Conclusion: Myomectomy is relatively safe during caesarean section in selected cases with expert hand.
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References
Katz VL, Dotters DJ, Droegemeuller W. Complications of uterine leiomyomas in pregnancy. Obstet Gynecol 1989;73:593-6.
Depp R. Cesarean delivery. In: Obstetrics: normal and problem pregnancies 4th edition. Edited by: Gabbe SG, Niebyl JR , Simpson JL. New York: Churchill Livingstone; 2002:599.
Cunningham FG, Gant NF, Levenok KJ, Gilstrap LC, Hauth JC, Wenstrom KD, editors: Chapter 35: Abnormalities of the reproductive tract. In: Williams Obstetrics 21st edition. New York: McGraw Hill; 2001:930.
Kwawukume EY. Myomectomy during cesarean section. Int J Gynecol Obstet 2002;76:183-4.
Brown D, Fletcher H, Myrie M, Ried M. Caesarean myomectomy a safe procedure. A retrospective case controlled study. J Obstet Gynecol 1999; 19:139-141.
Kant A, Manuja S, Pandey R. Cesarean myomectomy. J Obstet Gynecol India 2007:57(2):128-130.
Hassan F, Arumugam K, Sivanesaratnam. Uterine leiomyomata in pregnancy. Int J Gyneacol Obstet 1991;34(1):45-8.
Exacoustos C, Rosati P. Ultrasound diagnosis of uterine myomas and complications in pregnancy. Obstet Gynecol 1993;82:97-101.
Roman AS, Tabsh KMA. Myomectomy at time of cesarean delivery; a retrospective cohort study. BMC Pregnancy and Child birth 2004;4:14-7.
Adesiyun AG, Ameh AC, Ojabo A. Myomectomy at Caesarean Section: descriptive study of clinical outcome in tropical setting. J Ayub Med Coll Abbottabad 2009;21(4):7-9.
Ehigiegba AE, Ande AB, Ojobo SI. Myomectomy during caesarean section. Int J Gynaecol Obstet 2001;75:21-5.
Omar SZ, Sivanesaratnam V, Damodaran P. Large lower segment myoma: Myomectomy at lower segment section - a report of two cases. Singapore Med J 1999;40:109-10.
Kwawukumeh EY. Caesarean myomectomy. Afr J Reprod Health 2002;6:38-43.