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Published on: January 17, 2019
Multiple laparotomic myomectomy during pregnancy: a case report
V Lozza1, Annalisa Pieralli, S Corioni
1Department of Sciences for the Health of Woman and Child, University Teaching Hospital of Careggi, Florence, Italy.
Archives of Gynecology and Obstetrics
|June 21, 2011
Summary
This study demonstrates successful surgical management of uterine myomas during pregnancy. Myomectomy at 15.5 weeks allowed pregnancy continuation and uncomplicated delivery, reducing risks associated with uterine fibroids.
Area of Science:
- Obstetrics and Gynecology
- Surgical Management of Pregnancy Complications
Background:
- Uterine myomas (fibroids) pose significant risks during pregnancy, including spontaneous abortion, bleeding, and preterm delivery.
- Literature links myomas to complications like placenta previa, abruption, fetal malpresentations, and increased cesarean section rates.
Observation:
- Surgical intervention (laparotomic myomectomy) is indicated for persistent symptomatic uterine myomas during pregnancy, unresponsive to medical therapy.
- This case involved a pregnant patient at 15.5 weeks gestation with symptomatic uterine myomas.
Findings:
- Successful laparatomic myomectomy was performed at 15.5 weeks of gestation.
- The surgical management enabled the continuation of the pregnancy.
- The patient achieved delivery without major complications.
Implications:
- Surgical removal of symptomatic uterine myomas during pregnancy can be a safe and effective option.
- This approach may mitigate risks of adverse pregnancy outcomes associated with uterine fibroids.
- Further research into the safety and efficacy of myomectomy during gestation is warranted.

