Is Myomectomy during Caesarean Section a Safe Procedure? Prospective Cohort Study | ||||
| Benha Medical Journal | ||||
| Article 8, Volume 37, special issue (Surgery), December 2020, Page 81-88 PDF (593.2 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2020.123849 | ||||
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| Authors | ||||
| Khalid salama; Ibrahim Souidan | ||||
| Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Egypt | ||||
| Abstract | ||||
| Background: Benign uterine myoma is the commonest female tumor in the reproductive tract, and its incidence in pregnancy was estimated to be 2% to 5%. Traditionally, cesarean myomectomy was rejected as there is a liability of intrapartum and postpartum hemorrhage. The aim of this work is to investigate the significance of cesarean myomectomy together with early impact on the mother. Patients and methods: This study was conducted on 73 patients having different types and sizes of myoma during caesarean section delivery, the myomectomy was done by traditional technique but timing of myomectomy either pre or post delivery of the baby varied between different cases .Infusion of oxytocin during the operation and for 24 h later. Results: All women with uterine myoma were aging from 20- 38 years and had different parity. The participating women had myoma with different characteristics mostly from 5-10 cm. Also, the commonest types were intramural alone and sub-serous alone (76.8%). The commonest sites of fibroid were the uterine fundus and upper segment (80%).Intrapartum hemorrhage occurred in 10 cases that were overcome by ecbolics and bilateral uterine artery ligations with or without B-lynch technique. Five cases suffered from post operative fever that was overcome by antibiotics and antipyretics. The post partum hospital stay was 3 days in 63% of cases .Conclusion: caesarean myomectomy is a safe procedure but can be only done by experienced surgeon with some precautions. | ||||
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