Open AccessCesaraean myomectomy: A lesson learnt
Author(s) -
Monika Anant
Publication year - 2021
Publication title -
indian journal of obstetrics and gynecology research
Language(s) - English
Resource type - Journals
eISSN - 2394-2754
pISSN - 2394-2746
DOI - 10.18231/j.ijogr.2021.085
Subject(s) - medicine , blood loss , hemorrhagic shock , shock (circulatory) , sepsis , blood transfusion , surgery , obstetrics and gynaecology , myoma , hysterectomy , general surgery , resuscitation , uterus , pregnancy , biology , genetics
Cesarean myomectomy (CM) has been a controversial surgical procedure. It is fraught with increased blood loss and its associated postoperative morbidities of anemia, blood transfusion and sepsis or even an unintended obstetric hysterectomy. This case reports a life-threatening hemorrhagic shock in a patient for whom 2 large myomas were extracted during cesarean section. Safety of CM depends on proper case selection with small sized, subserous, pedunculated fibroids and the speed and skill of surgeon.