Successful enucleation of a necrotizing fibroid causing oligohydraminios and fetal postural deformity in the 25<sup>TH</sup> week of gestation

Joó, József Gábor; Inovay, J; Silhavy, Mihaly; Papp, Z

doi:10.1016/s0020-7292(00)84626-3

Cited by 6 publications

(6 citation statements)

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“…Antepartum myomectomy associated with reversal of fetal complications such as oligohydramnios, fetal postural deformity and intrauterine growth restriction has been reported [17]. …”

Section: Discussionmentioning

confidence: 99%

Successful myomectomy during pregnancy : A case report

Umezurike

Feyi-Waboso

2005

Reprod Health

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Background: The medical literature has reported an increase in myomectomy during caesarean section in the past decade. However, myomectomy performed during pregnancy remains a rarity. The management of uterine fibroids during pregnancy is usually expectant and surgical removal is generally delayed until after delivery. We present a case of a large, symptomatic uterine fibroid diagnosed during pregnancy which was successfully managed by antepartum myomectomy.

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“…Antepartum myomectomy associated with reversal of fetal complications such as oligohydramnios, fetal postural deformity and intrauterine growth restriction has been reported [17]. …”

Section: Discussionmentioning

confidence: 99%

Successful myomectomy during pregnancy : A case report

Umezurike

Feyi-Waboso

2005

Reprod Health

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“…The risk of miscarriage, pPROM or preterm birth in women with fibroids undergoing amniocentesis is not increased compared with the general population, especially if antibiotic prophylaxis is used. The increased rate of fetal loss in patients with myoma is to attribute only to the fibroids themselves, and amniocentesis does not increase this risk …”

Section: Obstetric Complications Of Myomas During Pregnancymentioning

confidence: 99%

Myoma and myomectomy: Poor evidence concern in pregnancy

Milazzo¹,

Catalano²,

Badia³

et al. 2017

J of Obstet and Gynaecol

110

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Aim: Summarize the results of the many, but often underpowered, studies on pregnancy complicated by myoma or myomectomy. Methods: Survey of the electronic PubMed database for the last two decades was conducted. We selected reviews, meta-analyses, case series, case reports, clinical studies only with statistical analysis, and guidelines from scientific societies. Results: Delaying childbearing leads to an increased incidence of pregnancy complicated by fibroids or previous myomectomy. Approximately 10-30% of pregnant women with myomas develop complications during gestation, at delivery and in puerperium. Submucosal, retroplacental, large and multiple myomas have a greater risk of complications. Cervical myomas, although rare, need careful management. The location and size of the fibroids should be assessed from the first trimester. Despite the increased risk of cesarean section, fibroids are not a contraindication to labor, unless they obstruct the birth canal or other obstetric conditions coexist. Myomectomy during pregnancy, in selected cases, is feasible and safe. Myomectomy cannot be considered a prophylactic measure prior to conception, but has to be individualized. Uterine rupture after myomectomy generally occurs in the third trimester or during labor and some associated risk factors have been identified. There is no consensus on the optimal interval between myomectomy and conception. Conclusions: Pregnancy in patients with fibroids or previous myomectomy should be considered as high risk, requiring a maternal-fetal medicine specialist. To date available literature is inconsistent on evidence-based management. Further research is needed for definitive recommendations.

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“…She was operated in the second trimester which will rule out the possibility of malformations as mentioned in the literature. 7 Our experience makes us to suggest that myomectomy during pregnancy may be considered safe in selected cases. But the current data available represent a small sample population to conclude the related safety and risk.…”

Section: Discussionmentioning

confidence: 89%

Antepartum myomectomy: a possible procedure for successful outcome

Chandran

Samal

2014

Int J Reprod Contracept Obstet Gynecol

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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.

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Successful enucleation of a necrotizing fibroid causing oligohydraminios and fetal postural deformity in the 25^TH week of gestation

Cited by 6 publications

References 0 publications

Successful myomectomy during pregnancy : A case report

Successful myomectomy during pregnancy : A case report

Myoma and myomectomy: Poor evidence concern in pregnancy

Antepartum myomectomy: a possible procedure for successful outcome

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Successful enucleation of a necrotizing fibroid causing oligohydraminios and fetal postural deformity in the 25TH week of gestation

Cited by 6 publications

References 0 publications

Successful myomectomy during pregnancy : A case report

Successful myomectomy during pregnancy : A case report

Myoma and myomectomy: Poor evidence concern in pregnancy

Antepartum myomectomy: a possible procedure for successful outcome

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Product

Resources

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Successful enucleation of a necrotizing fibroid causing oligohydraminios and fetal postural deformity in the 25^TH week of gestation