CAESAREAN MYOMECTOMY- A VERSATILE PROCEDURE FOR MANAGEMENT OF FIBROIDS AT C. SECTION

OBJECTIVE: To study all Caesarean myomectomies done at a tertiary center in South India. METHODS: 29 cases of Caesarean myomectomies were performed from 2004 to 2014, at our institution - a tertiary referral center. The type of fibroids, number and size of myomas, need for blood transfusions, and operating time and post-operative morbidity at Caesarean myomectomy were studied. RESULTS: We had equal number of subserous and intramural fibroids, and one large sub mucous fibroid removed at surgery. 7 fibroids were very large (> 10 cm diameter). 6 patients had more than 3 fibroids removed at surgery. 8 required blood transfusions, and none of our patients required hysterectomy. CONCLUSION: The authors find Caesarean myomectomy a feasible and safe