Caesarean Myomectomy As Safe And Feasible Procedure: Prospective Study of 6 Cases.

Abstract

Myomectomy at the time of caesarean delivery has been discouraged because of the risk of intractable haemorrhage and increased postoperative morbidity.A prospective study was conductedin a tertiary care teaching hospital in Manipur, India which included 6 pregnant women with uterine fibroids who underwent myomectomy during caesarean section.Type of Caesarean section, size and location of the fibroids, blood loss, postoperative morbidity, and neonatal outcome was studied.Total 12 fibroids were removed, with size varying from 5-13 cm.None of the patients required blood transfusion or hysterectomy.Myomectomy added 15-20 minutes to the operating time and there were no significant postoperative complications or prolongation of hospital stay.Neonatal outcome was good in all the patients.The message is that it's time to recommend caesarean myomectomy with adequate expertise, proper patient selection and effective haemostatic measures, which could also have a positive bearing on future reproductive outcomes.