Successful Myomectomy During Caesarean Section: A Case Report

Murmu, Sunita

doi:10.21276/ijcmr.2019.6.9.44

Cited by 2 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Every possible effort should be made to reduce the blood loss. Bilateral ligation of uterine arteries immediately after delivery of the fetus significantly reduces both intraoperative and postoperative blood loss and risk of peripartum hysterectomy [ 9 ]. It also reduces the recurrence of myomas and minimizes the need for future surgery, with no apparent effect on fertility [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Cesarean myomectomy: a case report and review of the literature

Garg

Bansal

2021

J Med Case Reports

View full text Add to dashboard Cite

Background Routine myomectomy at the time of cesarean section has been condemned in the past due to fear of uncontrolled hemorrhage and peripartum hysterectomy. It is still a topic of debate worldwide. However, in recent years, many case studies of cesarean myomectomy have been published validating its safety without any significant complications. Case presentation We describe the case of a 27-year-old gravida 2 para 1 live birth 1 North Indian woman with one previous lower segment caesarean section (LSCS) at 35 weeks with labor pains and scar tenderness. Her recent ultrasound (USG) report suggested a single live intrauterine pregnancy with an intramural fibroid of 8.6 × 6.5 cm located in the left anterolateral wall of the lower uterine segment. The patient was taken up for emergency cesarean section along with successful removal of the myoma, which was bulging into the incision line, causing difficulty in closure of the uterine wound. Prophylactically, oxytocin infusion, bilateral ligation of uterine arteries, and injection vasopressin (diluted) was administered to decrease the blood loss. The patient was discharged after 7 days without any complications. Conclusions Routine myomectomy at the time of cesarean section is not a standard procedure and is not accepted worldwide. However, it may be considered a safe option in carefully selected cases in the hands of an experienced obstetrician with appropriate hemostatic technique. Large multicenter randomized controlled trials should be conducted to evaluate the best practice guidelines for cesarean myomectomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Cesarean myomectomy: a case report and review of the literature

Garg

Bansal

2021

J Med Case Reports

View full text Add to dashboard Cite

show abstract

“…Проведение двусторонней перевязки маточных артерий сразу после рождения плода значительно снижает как интраоперационную, так и послеоперационную кровопотерю и риск гистерэктомии [18].…”

Section: прегравидарная подготовка и беременностьunclassified

A case of successful delivery in a patient with large uterine leiomyoma

et al. 2023

View full text Add to dashboard Cite

Uterine leiomyoma occurs in women over 35 years of age in 25–30% and in pregnant women in about 3–12%. However, in 10% of pregnant women, it turns out to be an accidental finding and is detected by ultrasound examination in the first trimester of pregnancy Approximately 10–30% of pregnant women with uterine leiomyoma have complications during pregnancy, childbirth and the postpartum period. The article demonstrates a case of successful delivery in a patient with uterine myoma at full-term pregnancy with preservation of reproductive function in a maternity hospital of the 3rd level. In the period of 38–39 weeks, the patient was hospitalized in the maternity hospital. By the decision of the council, the pregnant woman was prepared for a planned operative delivery. A lower median laparotomy was performed for adequate access. Performed caesarean section in the lower segment according to Defler. During the operation, a live, full-term girl weighing 3600 g and height 53 cm, 7/8 points on the Apgar scale was extracted. On the left, along the anterior surface of the uterus in the bottom area, a subserous myomatous node on a pedicle is determined, measuring 300*220*150 mm. Blunt and sharp dissection of adhesions was performed, followed by removal of a myomatous node weighing more than 1 kg. The postoperative period was uneventful. The patient was discharged on the 5th day. In our clinical case, a successful myomectomy was performed during a planned caesarean section. This type of surgery can be considered a safe option in carefully selected cases and a cost-effective method. However, this method should be performed by experienced surgeons who are skilled in the technique and take into account the size and location of the myomatous node.

show abstract

Successful Myomectomy During Caesarean Section: A Case Report

Cited by 2 publications

References 4 publications

Cesarean myomectomy: a case report and review of the literature

Cesarean myomectomy: a case report and review of the literature

A case of successful delivery in a patient with large uterine leiomyoma

Contact Info

Product

Resources

About