Myomectomy During C Section

The younger you are and the more fibroids you have at the time of myomectomy the more likely you are to develop fibroids again in the future.

Myomectomy during c section. There were no maternal or fetal complications. Serosal scarring and myocyte damage during myomectomy in nonpregnant uterus is more than that of cesarean myomectomy especially endometrial myomectomy. At the 39th week of pregnancy during the cs eight fibroids obstructing the lower part of the uterus were removed.

Women who underwent myomectomy during cs intervention group. 27 performed a myomectomy on a 31 year old primigravida during the 15th week of pregnancy due to a large 23 cm diameter myoma. Myomectomy was done during caesarean section.

Thus myomectomy during cesarean section produces less tissue damage compared to removal of a symptomatic myoma in normal sized uterus. Total 22 consequtive cases group 1 underwent em in the last 2 years. Fourty six women with leiomyomas during cesarean section interventions.

Elective myomectomy at the time of caesarean section has been traditionally discouraged due to the attendant morbidity primarily from haemorrhage. In the intervention group 72 5 of women had one myoma and 27 5 had two myomas compared to 70 1 of women in the control group with one myoma and 29 9 with two. Cesarean myomectomy has been conventionally discouraged in view of possibility of uncontrollable hemorrhage and maternal morbidity.

Endometrial myomectomy and serosal myomectomy during cesarean section between 2013 and 2016. Main outcome measures were. Difficulty of myomectomy and caesarean section time needed for operation per operative complications need for blood.

If myomectomy during caesarean section becomes widely accepted practice it could eliminate the need for a second operation in these patients. Myomectomy is very effective but fibroids can re grow. A myomectomy is an operation to remove fibroids while preserving the uterus.