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Myomectomy during pregnancy and caesarean section
S P Michalas1, F V Oreopoulou, J S Papageorgiou
1First Department of Obstetrics and Gynaecology, University of Athens Medical School, Alexandra Maternity Hospital, Greece.
Human Reproduction (Oxford, England)
|July 1, 1995
Summary
A pregnancy with a large uterine fibroid underwent myomectomy. Eight additional fibroids were removed during a subsequent Cesarean section without complications for mother or baby.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
- Surgical Management of Uterine Fibroids
Background:
- Uterine fibroids (myomas) are common benign tumors that can complicate pregnancy.
- Large myomas can pose risks such as obstruction and surgical challenges during gestation.
- Management strategies for symptomatic fibroids during pregnancy require careful consideration.
Observation:
- A 31-year-old primigravida presented with a large uterine myoma (23 cm diameter) at 15 weeks gestation.
- Myomectomy was performed during the first trimester to address the symptomatic fibroid.
- At 39 weeks gestation, during Cesarean delivery, eight additional fibroids were noted and removed.
Findings:
- Successful myomectomy during pregnancy for a large uterine fibroid.
- Complete removal of multiple uterine fibroids during Cesarean section.
- Absence of maternal or fetal complications throughout the pregnancy and delivery.
Implications:
- Demonstrates the feasibility and safety of myomectomy during pregnancy for large symptomatic fibroids.
- Highlights the potential for multiple fibroids to be present and managed concurrently with delivery.
- Supports conservative surgical approaches in managing uterine fibroids during gestation to ensure favorable pregnancy outcomes.