Authors : Amina S Kabeer, Shahnas M, Abdul Vahab KP
DOI : 10.18231/j.ijogr.2020.018
Volume : 7
Issue : 1
Year : 2020
Page No : 88-90
Introduction: Uterine leiomyoma is the commonest tumour of female genital tract. Earlier myomectomy
at caesarean sections was generally avoided due to fear of intractable haemorrhage and atonicity leading
to subsequent hysterectomy and future fertility issues. The aim of this study is to compare the intraoperative
and post-operative complications following caesarean myomectomy and caesarean section alone
in antenatal patients with myomas.
Materials and Methods: A hospital based observational comparative study was peformed on 38 antenatal
woman with myomas, include 19 antenatal patients with myomas who were posted for caesarean
myomectomy compared with age matched 19 antenatal women who were posted for caesarean alone ,
were selected for the study in the department of obstetrics and gynecology.
Results: In the present study patients mean age was of 30.8+5 yearsand 30.8+5 years respectively for
caesarean myomectomy and caesarean group. Out of the 38 patients 15 patients were primipara and
13 patients were multipara. The duration of surgery for caesarean myomectomy was 65 12.9minutes
compared to 47.4 +4.2 minutes in caesarean only group. Out of the 38 patients mean and standard
deviation of hemoglobin fall during surgery in caesarean myomectomy was 1.1+0.7gm/dl when compared
to 0.7+0.2gm/dl in caesarean group. And 2 patients needed blood transfusions post-operatively in
caesarean myomectomy compared one patient in caesarean group. The hospital stay in hours in caesarean
myomectomy was 126.310.9 hours and 121.35.5 hours in caesarean group. None of them ended on
obstetric hysterectomy.
Conclusion: In this study, No significant difference was observed in haemoglobin change, incidence of
intra-operative complications and length of hospital stay, in the caesarean myomectomy group as compared
to other post caesarean group. The possibility of performing myomectomy during caesarean section has
become a safe procedure with experienced surgeons and anaesthetic facilities
Keywords: Uterine leiomyoma, Caesarean myomectomy, Obstetric hysterectomy.