Publication:

Caesarean myomectomy: a descriptive study of clinical outcome

Background The objective was to analyse the clinical outcome of caesarean myomectomy and to evaluate the safety of performing the procedure.

Methods A total of 23 cases of caesarean myomectomy, conducted in Institute of Medical Science and Sum Hospital Odisha, between January 2008 to December 2012 were analysed.

Results In this study, out of 23 cases one case needed hysterectomy and another one required relaparotomy. Puerperal pyrexia and sepsis was found in 8.6% cases and 60.8% cases had post-operative anaemia. Intra operative haemorrhage was more than 1000 ml in 82.6% cases though only30.4% cases required blood transfusion. Hospital stay in all patients was on average 8 days post-operatively. There was no maternal or perinatal mortality.

Conclusion Myomectomy is relatively safe during caesarean section in selected cases with expert hand.