Maternal complications following caesarean myomectomy and caesarean alone-an observational comparative study

Uterine leiomyoma is the commonest tumour of female genital tract. Earlier myomectomyat caesarean sections was generally avoided due to fear of intractable haemorrhage and atonicity leadingto subsequent hysterectomy and future fertility issues. The aim of this study is to compare the intraoperativeand post-operative complications following caesarean myomectomy and caesarean section alonein antenatal patients with myomas.Materials and Methods: A hospital based observational comparative study was peformed on 38 antenatalwoman with myomas, include 19 antenatal patients with myomas who were posted for caesareanmyomectomy 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 forcaesarean myomectomy and caesarean group. Out of the 38 patients 15 patients were primipara and13 patients were multipara. The duration of surgery for caesarean myomectomy was 65 12.9minutescompared to 47.4 +4.2 minutes in caesarean only group. Out of the 38 patients mean and standarddeviation of hemoglobin fall during surgery in caesarean myomectomy was 1.1+0.7gm/dl when comparedto 0.7+0.2gm/dl in caesarean group. And 2 patients needed blood transfusions post-operatively incaesarean myomectomy compared one patient in caesarean group. The hospital stay in hours in caesareanmyomectomy was 126.310.9 hours and 121.35.5 hours in caesarean group. None of them ended onobstetric hysterectomy.Conclusion: In this study, No significant difference was observed in haemoglobin change, incidence ofintra-operative complications and length of hospital stay, in the caesarean myomectomy group as comparedto other post caesarean group. The possibility of performing myomectomy during caesarean section hasbecome a safe procedure with experienced surgeons and anaesthetic facilitiesKeywor