Myomectomy at the Time of Cesarean Section: A Prospective Multicentre Study

Authors

  • Nargis Akhter Asstt. Professor, of Gynae and Obstetrics, BSMMU, Shahbag, Dhaka
  • Firoza Begum Professor, of Gynae and Obstetrics, BSMMU, Shahbag, Dhaka
  • Nurjahan Begum Consultant of Gynae and Obstetrics, BSMMU, Shahbag, Dhaka
  • Saleha Begum Chowdhury Professor, of Gynae and Obstetrics, BSMMU, Shahbag, Dhaka
  • Nilufar Fatema Consultant (Cardiology), University Cardiac Centre, BSMMU, Shahbag, Dhaka,
  • Selina Akhter Amin Consultant, Department of Gynae and Obstetrics, BSMMU, Shahbag, Dhaka
  • Zahidul Hasan Department of Medicine, SSMCH, Dhaka
  • Fazlur Rahman Assoc. Professor (Interventional Cardiology), University Cardiac Centre, BSMMU, Shahbag, Dhaka.
  • Anwer Hossain Professor, of Gynae and Obstetrics, BSMMU, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bsmmuj.v4i2.8639

Keywords:

Cesarean section, myomectomy, uterine myoma

Abstract

Objectives: To assess the safety and efficacy of myomectomy during cesarean section.

Methods : The study design was a prospective multicentre study done in three tertiary care hospitals in Dhaka city. The subject were 30 pregnant women underwent elective or emergency myomectomy during cesarean section. All cesarean section myomectomy were performed by consultant. Intra-operative and post-operative complications such as change in haematocrit, length of operation, blood loss were estimated. Length of hospital stay was also recorded.

Results : 50 Fibroid of various sizes (2-6cm) were removed from 30 women. Fibroid were on the anterior uterine wall with most being subserous and intramural. Four patients had one unit of whole blood transfusion in post-operative period. No hysterectomy was done at the time of cesarean section. There was no significant frequency of blood transfusion; incidence of post- operative fever and duration of operation. The mean duration of post operative hospital study was 7.3±1.2 days. Two patients subsequently became pregnant, were also underwent repeated cesarean section in the study period.

Conclusion : In selected cases myomectomy during cesarean section does not appear to result in an increased risk of intrapartum or short-term postpartum morbidity if performed by an experienced practitioner. Cesarean myomectomy is a safe surgical options with no significant complications.

Keywords : Cesarean section; myomectomy; uterine myoma.

DOI: http://dx.doi.org/10.3329/bsmmuj.v4i2.8639

BSMMU J 2011; 4(2):102-105

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How to Cite

Akhter, N., Begum, F., Begum, N., Chowdhury, S. B., Fatema, N., Amin, S. A., Hasan, Z., Rahman, F., & Hossain, A. (2011). Myomectomy at the Time of Cesarean Section: A Prospective Multicentre Study. Bangabandhu Sheikh Mujib Medical University Journal, 4(2), 102–105. https://doi.org/10.3329/bsmmuj.v4i2.8639

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Original Articles