Published in:
01-11-2016 | Case Based Review
Myomectomy at the time of cesarean delivery
Published in: Irish Journal of Medical Science (1971 -) | Issue 4/2016
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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.