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Are Deliveries by Inverted T-Incision on the Rise Due to Fibroids?: A Case Report.
Maryam M Almusalam1, Anga Badawi2, Nayla Bushaqer1
1Obstetrics and Gynaecology, Royal College of Surgeons in Ireland - Bahrain, Busaiteen, BHR.
Cureus
|June 9, 2022
Summary
Large fibroids during pregnancy require careful monitoring. Cesarean delivery with an inverted T-incision is recommended for fibroids obstructing the lower uterine segment, ensuring safe delivery.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Uterine fibroids are common in women of reproductive age.
- Large fibroids can complicate pregnancy, necessitating close monitoring of size, number, and location.
Observation:
- A case of a 27-year-old pregnant female with a 15 cm lower segment fibroid is presented.
- Delivery was complicated, requiring a cesarean section with a high transverse and extended inverted T-incision.
- The baby was successfully delivered after presenting in transverse lie, then breech.
Findings:
- Lower segment cesarean section (LSCS) combined with an inverted T-incision is the safest approach for large, lower segment-obstructing fibroids.
- The increasing use of inverted T-incisions may be linked to cesarean myomectomies for obstructing fibroids.
Implications:
- Cesarean myomectomies for large, obstructing fibroids can be performed safely when benefits outweigh risks.
- This approach offers a viable solution for managing complex pregnancies with significant fibroids.
