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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Updated: Oct 3, 2025

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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Intraoperative Myomectomy during Caesarean Section.

Dionysios Galatis1, Nikolaos Kiriakopoulos2, Christos Benekos2

  • 1V' Department of Ob/Gyn, Helena Venizelou, General and Maternity Hospital of Athens, Greece. galatismd@gmail.com.

Acta Medica Academica
|February 15, 2022
PubMed
Summary

Intracaesarian myomectomy is presented as a safe treatment alternative. This case study shows a successful myomectomy during a caesarean section with no postoperative complications.

Keywords:
CaesareanFibroidMyomaMyomectomyPregnancy

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Surgical Innovation

Background:

  • Uterine fibroids (myomas) are common, often requiring surgical intervention.
  • Myomectomy, the surgical removal of fibroids, is a standard procedure.
  • Simultaneous myomectomy during caesarean delivery is an evolving surgical consideration.

Observation:

  • A case of a subserosal myoma on the left uterine wall is detailed.
  • The myomectomy was performed during a caesarean section at 38+1 weeks' gestation.
  • The surgical procedure was completed without intraoperative complications.

Findings:

  • The patient experienced an uncomplicated postoperative recovery.
  • Intracaesarean myomectomy demonstrated a favorable clinical outcome in this case.
  • This procedure offers a potential solution for managing uterine fibroids in pregnant patients.

Implications:

  • Intracaesarean myomectomy may be a viable option for selected patients.
  • This approach could potentially reduce the need for future surgeries.
  • Further research is warranted to establish the safety and efficacy of this technique.