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Published on: January 17, 2019
Cesarean Myomectomy: An Experience from a Tertiary Care Teaching Hospital
T Ramya1, Shraddha S Sabnis1, T V Chitra1
1Department of Obstetrics and Gynaecology, PSG Institute of Medical Sciences and Research (PSGIMSR), Coimbatore, Tamil Nadu 641004 India.
Background:
Recent literature supports the removal of myomas during cesarean section, which traditionally was considered a relative contraindication, given a higher complication rate. This study is to share our experience of cesarean myomectomy in the last decade.
Methods:
This study is a retrospective review of our prospectively maintained database, from January 2008 to December 2017, at a tertiary care level teaching institution. All patients who underwent myomectomy during cesarean section were included. There were no exclusions.
Results:
A total of twenty patients underwent myoma removal along with the cesarean operation during this period with a mean age of 30 years. Majority of patients were nulliparous (70%). Common comorbidities were diabetes mellitus (40%) and hypothyroidism (20%). Mean size of myomas were 5.33 cm (± 2.08), and the number varied from one to three. The most common location was the posterior surface of the uterus with the commonest variety being subserous. Most patients were discharged on the fifth postoperative day.
Conclusion:
This study demonstrates that cesarean myomectomy to be a safe and feasible procedure in experienced hands. It offers the advantage of avoiding a second surgery in selected patients.
