Caesarean myomectomy dilemma: Do or not to do? | ||||
| Zagazig University Medical Journal | ||||
| Article 23, Volume 28, Issue 3, May 2022, Page 567-572 PDF (304.87 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2021.69105.2178 | ||||
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| Authors | ||||
Ali Abdelhamed M. Moustafa1; Mohamed Ali Alabiad   2; Mohammed El-Bakry Lashin3
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| 1Lecturer of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University | ||||
| 2Pathology Department, Faculty of Medicine, Zagazig University | ||||
| 3Department of Obstetrics and Gynecology, Faculty of Medicine –Zagazig University, Zagazig, Egypt | ||||
| Abstract | ||||
| Objective: Aim of the study was to clarify the risk–benefit ratio of cesarean myomectomy Materials and methods: The study group included twenty pregnant women with uterine myoma who were indicated for caesarean section. Myomectomy (serosal or endometrial) was done during caesarean section. Main outcome measures were: difficulty of myomectomy and caesarean section, time needed for operation, intraoperative bleeding, need for blood transfusion, postoperative complications and duration of hospital stay. Results: During the study period, a total 20 cases of caesarean myomectomy were done. Seventeen(85%) women were of 23 -30 years of age. Fifteen(75%) women were primiparous. Myomas were diagnosed in sixteen(80%) women before pregnancy. Sixteen(80%) women had single myoma. Myoma was located in the body of the uterus in fourteen(70%) of cases. Four(20%) women had subserous myomas, twelve(60%) had subserous –intramural myomas and four(20%) had intramural-submucous myomas. In three(15%) women, the diameter of the myoma was more than 10 cm. In the remaining seventeen (85%) women, it varied from(5-10)cm. Myomectomies were successful without need of blood transfusion in all cases. The average change in pre and post-operative hemoglobin was found to be 1.08 ± 0.26 g/dL. Operative time was | ||||
| Keywords | ||||
| Myoma; pregnancy; caesarean myomectomy; complications | ||||
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