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Year :2020
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Month :
July-August
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Volume :
9
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Issue :
3
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Page :
SO09 - SO11
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A Retrospective Study of Caesarean Myomectomy in Modern Obstetrics
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Correspondence Address :
Sambedna, Amit Kumar,
Dr. Amit Kumar,
Senior Resident, Department of Paediatric Surgery, Lady Hardinge Medical College, New Delhi, India.
E-mail: amitsandilyaigims@gmail.com
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Introduction: Introduction: Myomectomy during caesarean section was previously considered a relative contraindication with high complication rate. Now-a-days more number of caesarean myomectomies is being conducted as it avoids multiple surgeries and is considered safe.
Aim: To study and analyse the safety of Caesarean Myomectomy (CM) in the background of existing complications like intra-operative excessive bleeding and extended hospital stay.
Materials and Methods: All patients who underwent myomectomy during caesarean section in the tertiary care teaching hospital, during October 2017 to October 2018 were included in the study. Parameters like age, parity, gestatational age, number of prior surgeries, size, number, type and location of myomas were noted from outpatient and inpatients records. The ethical committee approved the study. It was a retrospectively designed descriptive study, so no specific test were applied. Percentages and standard deviation was calculated using SPSS 16.0 software.
Results: Common co-morbidities were Gestational Diabetes Mellitus (GDM) (20%) and hypothyroidism (40%). Mean size of myomas was 5.33 cm (±2.08) and number varied from one to four. The most common location was posterior surface of uterus and and common type was subserous which comprised 10 of total myomas.
Conclusion: This study concludes that CM is a safe procedure from experienced hand (gynaecologists who have performed surgeries with minimum experience of 10 years).
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