Myomectomy at cesarean section can be performed without significant complications
Fibroidsare the most common benign tumors of the uterus. The complications due to theirpresence however depend on their size, number, and location. When present inlower uterine segment, they may obstruct the passage of the fetus, and in suchcases, cesarean delivery is indicated. Whether myomectomy should be combinedwith cesarean is still an unanswered question in modern obstetrics. Cesareanmyomectomy till recently was a dreaded surgery. It was believed that because ofincreased vascularity in a pregnant uterus, myomectomy at the time of cesareanwould lead to massive hemorrhage and increase in perioperative morbidity.However, with the advent of newer techniques of selective devascularization andadvances in the field of anesthesia, today many obstetricians are opting formyomectomy along with cesarean section (CS) to avoid a second surgery in thenear future with its accompanying set of complications and cost factor.
To assessthe intra- and post-operative complications of cesarean myomectomy, Ehigiegba,A.E., Ande, A.B. and Ojobo, S.I et carried out a descriptive study, and thesetting was the Department of Obstetrics and Gynaecology, University of Benin TeachingHospital and two private consultant units, all in Benin City. The subjects were25 pregnant women undergoing elective or emergency cesarean section at theseunits. The outcome measures were blood loss and need for blood transfusion,intra- and post-operative complications and duration of hospital stay.
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