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Caesarean myomectomy.

E Yao Kwawukume1

  • 1Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana.

African Journal of Reproductive Health
|April 11, 2003
PubMed
Summary

Performing myomectomy during caesarean section with a tourniquet shows no significant difference in blood loss or complications compared to caesarean section alone. This surgical approach is safe for women requiring both procedures.

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Innovation

Background:

  • Uterine fibroids are common, often necessitating surgical intervention.
  • Simultaneous myomectomy during caesarean section can address fibroids, but concerns exist regarding increased morbidity and blood loss.

Purpose of the Study:

  • To compare the efficacy and safety of myomectomy performed during caesarean section with tourniquet application versus caesarean section alone.

Main Methods:

  • A comparative study involving 24 patients at Korle Bu Teaching Hospital and Family Health Hospital, Accra, Ghana.
  • Patients were divided into two groups: caesarean section with myomectomy (using a tourniquet) and caesarean section without myomectomy.
  • Key metrics included pre- and post-operative hemoglobin levels, operative duration, and complication rates.

Main Results:

  • Average hemoglobin drop was 1.83 g/dl for the myomectomy group and 1.73 g/dl for the control group, a non-significant difference.
  • Operative duration was longer for caesarean section with myomectomy (62.08 mins) compared to caesarean section alone (50.83 mins).
  • No significant intra-operative or post-operative complications were observed in either group, with normal uterine involution.

Conclusions:

  • Performing myomectomy during caesarean section with tourniquet application is a safe procedure.
  • There is no significant difference in intra-operative and post-operative morbidity or blood loss compared to caesarean section alone.
  • This approach offers a viable option for managing uterine fibroids in women undergoing caesarean delivery.

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