DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213487

A case series of caesarean myomectomy

Shazia Parveen, Nasreen Noor, Iti Madan, Ummay Kulsoom

Abstract


Uterine fibroids are benign, monoclonal tumors of smooth muscle cells of the myometrium. Most fibroids do not increase in size during pregnancy and are not always removed when encountered during cesarean section. Objective was to see the outcome of patients undergoing cesarean myomectomy. The study design was observational study. All patients undergoing cesarean section with uterine fibroid of size more than 5 cm. In carefully selected patients and with use of intraoperative vasopressin, myomectomy may be safely accomplished at the time of caesarean section by experienced surgeons. cesarean myomectomy is safe and successful if patient selection is done carefully and does not add to any additional post-operative morbidity.


Keywords


Uterine fibroid, Caesarean section, Myomectomy

Full Text:

PDF

References


Sparic R, Mirkovic L, Malvasi A, Tinelli A. Epidemiology of uterine myomas: A review. Int J Fertil Steril. 2016;9:424-35.

Sparic R, Terzic M, Malvasi A, Tinelli A. Uterine fibroids: Clinical presentation and complications. Acta Chir Iugosl. 2014;61:41-8.

Cardozo ER, Clark AD, Banks NK, Henne MB, Stegmann BJ, Segars JH. The estimated annual cost of uterine leiomyomata in the United States. Am J Obstet Gynecol. 2012;206:211.e1-211

Coronado GD, Marshall LM, Schwartz SM. Complications in pregnancy, labor, and delivery with uterine leiomyomas: a population-based study. Obstet Gynecol. 2000;95:764-9.

Kaymak O, Ustunyurt E, Okyay RE. Myomectomy during cesarean section. Int J Gynaecol Obstet. 2005;89:90-93.

Sheiner E, Bashiri A, Levy A. Obstetric characteristics and perinatal outcome of pregnancies with uterine leiomyomas. J Reprod Med. 2004;49:182-6.

Davis JL, Ray-Mazumder S, Hobel CJ. Uterine leiomyomas in pregnancy: a prospective study. Obstet Gynecol. 1990;75:41-4.

Neiger R, Sonek JD, Croom CS. Pregnancy related changes in the size of uterine leiomyomas. J Reprod Med. 2006;51:671-4.

Kwawukume EY. Caesarean myomectomy. Afr J Reprod Health. 2002;6:38-43.

Shavell VI, Thakur M, Sawant A. Adverse obstetric outcomes associated with sonographically identified large uterine fibroids. Fertil Steril. 2012;97:107-10.

Sparic R, Nejkovic L, Mutavdzic D, Malvasi A, Tinelli A. Conservative surgical treatment of fibroids. Acta Chir Iugosl. 2014;61:11-66.

Baloniak B, Jasinskil O, Prews K. Slomko Z. Morphologic pattern of uterine myomas enucleated at cesarean section. Clinical Pol. 2002;73(4):255-9.

Kwawkume EY. Myomectomy during cesarean section. Int J Gyn Obs. 2003;76:183-4.

Ehigilgha AE, Ande AB, Ojobo SI. Myomectomy during cesarean section. Int J Gyn obs. 2001;75:21-5.

Cohellis L, Florio P, Stradella L, Lulia EP. Electro-cautery of myomas during cesarean section, two cases reports. Eu J Obs Gyn Rep Biol. 2002.

Brown D, Myrie M. Cesarean myomectomy a safe procedure. West Ind Med J. 1997;46(2):450.