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Successful Myomectomy during Cesarean Section: Case Report & Literature Review.
Fatemeh Ghaemmaghami1, Mojgan Karimi-Zarchi2, Mahin Gharebaghian3
1Professor of gynecology, Tehran University of medical sciences, Iran.
Simultaneous myomectomy during cesarean delivery is debated. This case study shows a large myoma (20 cm) successfully removed during cesarean without complications, suggesting it
Area of Science:
- Obstetrics and Gynecology
- Surgical Innovation
Background:
- Myomectomy during cesarean delivery is a debated surgical procedure among obstetricians.
- The optimal management of uterine fibroids in pregnant patients remains an area of clinical discussion.
Observation:
- A 29-year-old primigravida patient presented with a large lower segment myoma (20 cm, 1500g) during term pregnancy.
- The patient underwent a cesarean section with simultaneous myomectomy.
Findings:
- The procedure was completed without intra-operative hemorrhage.
- The patient experienced no post-partum complications, indicating a favorable outcome.
Implications:
- This case suggests that myomectomy during cesarean delivery may be a safe and viable option for large, lower-segment myomas.
- Sufficient surgical experience and careful patient selection are crucial for successful outcomes in combined procedures.
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