Myomectomy at the time of cesarean delivery

Document Type

Article

Publication Title

Irish journal of medical science

Abstract

INTRODUCTION: Myomectomy at the time of cesarean delivery has been traditionally discouraged. Recent literature has challenged this view. We present two cases of large subserosal fibroids that underwent removal without complication at the time of cesarean delivery. MATERIALS AND METHODS: We present two patients that underwent myomectomy at the time of cesarean delivery. Case 1 had a 10 cm subserosal leiomyoma removed without complication at the time of a cesarean section for breech presentation. Case two had a fundal myoma removed without incident at the time of primary cesarean delivery for suspected macrosomia. DISCUSSION: Myomectomy at the time of cesarean section has been traditionally discouraged. Recent studies have questioned this recommendation and demonstrated no significant increase in peri-operative complications when myomectomy is performed at the time cesarean section. Further, there is added benefit in that a future procedure is avoided. CONCLUSION: Myomectomy at the time of cesarean delivery is both a safe and reasonable procedure.

First Page

973

Last Page

975

DOI

10.1007/s11845-015-1378-2

Publication Date

11-1-2016

Identifier

26563108 (pubmed); 10.1007/s11845-015-1378-2 (doi); 10.1007/s11845-015-1378-2 (pii)

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