Successful myomectomy during pregnancy

Lolis, D.

doi:10.1093/humrep/deg318

Cited by 100 publications

(93 citation statements)

References 14 publications

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“…Rather, at delivery and puerperium a high incidence of hysterectomy for postpartum hemorrhage and postpartum sepsis was observed in some literature in which myoma was not removed 13 . There are some reports of huge, symptomatic leiomyomas successfully managed by myomectomy in second trimester 17,18 . This seemed to lead to an improvement in pregnancy outcome in carefully selected patients 18 .…”

Section: Discussionmentioning

confidence: 99%

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Successful Outcome of Pregnancy of a Sub-fertile Woman with Multiple Fibroids and Placenta Praevia and Accreta

Sultana¹,

Akhter²,

Ak³

et al. 2014

J. Bangladesh Coll. Phys.

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Fibroids, the commonest benign pelvic tumor, have a common association with subfertility and increasing maternal age. Placenta praevia and fibroid (if submucous) has an association with placenta accreta. Here we report the case of an elderly primigravida with history of prolong subfertility, admitted with 37 weeks pregnancy with multiple fibroids and central placenta praevia with focal increta. Even with all these complicating factors, with the advent of better uterotonic drugs, conservative management could be considered successfully now-a-days. Introduction:Fibroids are the commonest of all pelvic tumours, being present in 20 percent of women in reproductive age group. They are frequently multiple and more common in nulliparous and relatively infertile women 1,2 . Most fibroids are asymptomatic during pregnancy and are diagnosed on routine ultrasound examination 2 . Approximately 10% of pregnant patients with fibroids have complications related to or caused by the fibroids. These can be: first trimester loss, compression effect from myomas on the mother as well as on the fetus, pain (red degeneration), premature labour, premature rupture of the membranes, malpresentation, placenta praevia, retained placenta, postpartum hemorrhage and puerperal sepsis 3,4 .

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Section: Discussionmentioning

confidence: 99%

“…There are some reports of huge, symptomatic leiomyomas successfully managed by myomectomy in second trimester 17,18 . This seemed to lead to an improvement in pregnancy outcome in carefully selected patients 18 . However, myomectomy performed during pregnancy remains a rarity 17 .…”

Section: Discussionmentioning

confidence: 99%

Successful Outcome of Pregnancy of a Sub-fertile Woman with Multiple Fibroids and Placenta Praevia and Accreta

Sultana¹,

Akhter²,

Ak³

et al. 2014

J. Bangladesh Coll. Phys.

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“…Available literatures are mainly restricted to case reports and retrospective studies. As such, a surgical approach is usually reserved for cases of intractable abdominal pain or persistent gastroenteric and urinary symptoms despite pharmacological treatment (4)(5)(6). Majority of the reported myomectomies were performed in second trimester for intractable pelvic pain and had excellent results.…”

Section: Introductionmentioning

confidence: 99%

Antenatal Myomectomy: Is It Safe?

Ali¹

2017

JSA

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“…The Criteria for Deciding to Submit to Myomectomy during Pregnancy were: 7 (i) Rapidly growing leiomyoma causing discomfort.…”

Section: Introductionmentioning

confidence: 99%

A Rare Surgery: Myomectomy on Pregnant Uterus

U¹,

Patel²,

K³

2015

jemds

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BACKGROUND: Leiomyomas also called myomas or fibroids; are benign monoclonal uterine myometrial tumors. Uterine fibroids are the commonest benign tumours of female genital tract with a prevalence of 20 to 50% in women of reproductive age. Fibroids may be classified as submucous, intramural or sub-serous. It is often assumed that fibroids cause infertility since pregnancies do occur after myomectomy and other treatments where the fibroids are removed. The treatment of fibroids has historically been surgery, usually hysterectomy. Myomectomy is an option in women wishing to maintain fertility and for those desiring to keep their uterus. The position of the uterine fibroid plays important role in infertility. The presence of sub-mucous fibroid decreases the fertility rate. Subserosal fibroids do not affect the fertility rate but removing those does increase fertility. Surgical management is limited to non-pregnant uterus. Fibroid coexisting pregnancy, prevalence is 0.3-2.6%, can be associated with complication in 10 to 30% cases which are managed conservatively. We present a case of multiple fibroid complicating pregnancy with one huge sub-serosal pedunculated fibroid extending up to xiphisternum that necessitated myomectomy at 18 to 20 weeks of gestation.

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Successful myomectomy during pregnancy

Abstract: These data provide reassurance for pregnant women with uterine myoma. Surgical management of uterine leiomyoma during pregnancy may be successfully performed in carefully selected patients.

Cited by 100 publications

References 14 publications

Successful Outcome of Pregnancy of a Sub-fertile Woman with Multiple Fibroids and Placenta Praevia and Accreta

Successful Outcome of Pregnancy of a Sub-fertile Woman with Multiple Fibroids and Placenta Praevia and Accreta

Antenatal Myomectomy: Is It Safe?

A Rare Surgery: Myomectomy on Pregnant Uterus

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