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Caesarean myomectomy--a safe procedure. A retrospective case controlled study.
D Brown1, H M Fletcher, M O Myrie
1Cornwall Regional Hospital, Montego Bay, St. James, Kingston, Jamaica.
Summary
Caesarean myomectomy during pregnancy is safe, with outcomes comparable to standard caesarean sections. This procedure avoids a separate surgery, making it cost-effective for managing uterine fibroids.
Area of Science:
- Obstetrics and Gynecology
- Surgical Innovation
Background:
- Uterine fibroids in pregnancy pose management challenges.
- Surgical intervention during caesarean delivery is an option.
Purpose of the Study:
- To compare the safety and efficacy of caesarean myomectomy with standard caesarean section.
- To evaluate the impact on patient outcomes and healthcare costs.
Main Methods:
- Retrospective comparison of 16 women undergoing caesarean myomectomy versus 16 controls.
- Data collected included blood loss, hemoglobin levels, transfusion rates, febrile morbidity, and hospital stay.
Main Results:
- Caesarean myomectomy showed comparable blood loss (495ml vs 355ml) and hemoglobin drop (1.7g/dl vs 1.4g/dl) to controls.
- No significant differences were found in transfusion needs, febrile morbidity, or hospital stay.
Conclusions:
- Caesarean myomectomy is a safe procedure for women with uterine fibroids during pregnancy.
- It offers no increased risk compared to caesarean section alone and avoids interval myomectomy, enhancing cost-effectiveness.