Cesarean Myomectomy: Practical Issues
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2017, Vol 4, Issue 3
Abstract
Objective: To determine the feasibility, safety and outcome of cesarean myomectomy. Methods: It was a prospective study carried out in 25 pregnant women who had uterine myomas and underwent myomectomy during elective or emergency cesarean section. Analysis was done with reference to age, parity, characteristics of uterine myomas, operative morbidity, haematological changes occurring between preoperative and postoperative periods. Duration of surgery and post-operative duration of stay in hospital was also analysed. All cesarean myomectomies were performed by senior obstetrician. Followup of all the patients was done after six weeks. Results: Cesarean myomectomy helps in preventing repeat surgery for myomas and thereby prevents the risk of repeat anesthesia and relaparotomy. In our study forty fibroids of various sizes (2-12 cm) were removed in 25 women during cesarean section. Majority of fibroids were located on anterior wall of uterus except one which was located on the posterior wall of the body of uterus and was submucosal. Majority of the fibroids were detected in the body of uterus and were of subserous and intramural type. Insignificant difference was found in mean preoperative (11.5±0.9 gm/dl) and postoperative haemoglobin(10.7± 0.7gm/dl).Post-operatively only two patients required blood transfusion and one patient had fever. Mean time taken for operation was 63.9± 6.34 minutes and mean post-operative duration of hospital stay was 7.2 ± 1.7 days only. No patient had postpartum haemorrhage requiring cesarean hysterectomy in our study. Conclusion: Cesarean myomectomy is safe surgical procedure without any significant complications if performed in selected patients by experienced Obstetrician in tertiary care centre.
Authors and Affiliations
Preet Kamal, Ripan BalaJ, Madhu Nagpal, Harmanpreet Kaur
Keywords
Related Articles
- EP ID EP313252
- DOI 10.18231/2394-2754.2017.0056
- Views 77
- Downloads 0
Evaluation of efficacy, safety and cost effectiveness of oral iron and injectable iron sucrose and ferric carboxy maltose in pregnant women in 2nd and 3rd trimester in anaemia
Objective: To compare the efficacy safety and cost effective of oral iron and injectable iron sucrose and FCM in pregnancy in 2nd and 3rd trimester. Methods: A prospective randomised control trial study in 300 women with...
A prospective study of prevalence, risk factors, isolates & antimicrobial sensitivity pattern in Asymptomatic Bacteriuria among Antenatal women in Rajarajeswari Medical College & Hospital
Introduction: Urinary tract infections are one of the common infections during pregnancy. Asymptomatic bacteriuria is one of the risk factor and clinical manifestation of urinary tract infections. Detection of asymptomat...
Management of uterine leiomyoma with mifepristone and its outcome in South Indian population
Introduction Uterine Fibroids are common growth of female reproductive tract in women of reproductive age group So this prospective observational study was conducted to evaluate the effect of low dose Mifepristone treatm...
Vulvar fibroma with coexisting uterine fibroma in a postmenopausal patient: A Case Report
Vulval growths though rare, may be cause of discomfort as well as social withdrawal. The patient usually complains only of swelling or of bleeding and discharges from it. The treatment is excision and removal, recurrence...
Parasitic fibroid during Pregnancy: A Diagnostic Dilemma (Rare Case Report)
Leiomyomas are the most common benign tumors of the uterus, but parasitic fibroid is a rare entity. A parasitic leiomyoma is a type of extra-uterine leiomyoma and presents as pelvic benign smooth-muscle masses separate f...