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Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Inevitable caesarean myomectomy
A O Igwegbe1, B O Nwosu, J O Ugboaja
1Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, P.M.B.5025 Nnewi. tigwegbe@yahoo.com
Abstract:
The standard teaching is to avoid caesarean myomectomy as much as possible for the fear of the attendant severe haemorrhage. Classical caesarean section in spite of its risk of uterine rupture in subsequent pregnancies had been prescribed in its place. We report a case of a 32 year old nullipara who had an inevitable removal of a huge intramural fibroid in order to assess the baby. A high dose oxytocin infusion, and skillful surgery ensured minimal intra operative and post operative blood loss.
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