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Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Myomectomy during pregnancy: a feasible option
Neerja Bhatla1, Biswa Bhushan Dash, Alka Kriplani
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. nbhatla@aiims.ac.in
The Journal of Obstetrics and Gynaecology Research
|February 14, 2009
Summary
This study presents a successful second-trimester myomectomy for a large fibroid causing intestinal obstruction. The pregnancy continued to term, demonstrating the feasibility of surgical intervention during gestation.
Area of Science:
- Obstetrics and Gynecology
- Surgical Oncology
Background:
- Myomectomy during pregnancy is rare due to risks of miscarriage and hemorrhage.
- Most pregnancy myomectomies occur during Cesarean delivery.
Observation:
- A case of a pregnant patient with a large subserous fibroid (3900g) causing severe pressure symptoms and subacute intestinal obstruction.
Findings:
- Successful second-trimester myomectomy was performed.
- The patient's pregnancy continued uneventfully until term.
Implications:
- Demonstrates the safety and feasibility of myomectomy in advanced pregnancy for significant fibroids.
- Offers a potential surgical option for pregnant patients with symptomatic fibroids causing obstruction.
