Igwegbe A O, Nwosu B O, Ugboaja J O, Monago E N
Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, P.M.B. 5025, Nnewi.
Niger J Med. 2010 Jul-Sep;19(3):329-31. doi: 10.4314/njm.v19i3.60236.
The standard teaching is to avoid caesarean myomectomy as much as possible for the fear of the attendant severe haemorrhage. Classical caesarean section in spite of its risk of uterine rupture in subsequent pregnancies had been prescribed in its place. We report a case of a 32 year old nullipara who had an inevitable removal of a huge intramural fibroid in order to assess the baby. A high dose oxytocin infusion, and skillful surgery ensured minimal intra operative and post operative blood loss.
传统的教学观点是，由于担心随之而来的严重出血，应尽可能避免剖宫产子宫肌瘤切除术。尽管经典剖宫产在后续妊娠中有子宫破裂的风险，但仍被规定用于替代该手术。我们报告了一例32岁未产妇的病例，为了评估胎儿情况，不可避免地切除了一个巨大的壁间肌瘤。高剂量催产素输注和精湛的手术确保了术中及术后的失血最少。
