Ghaemmaghami Fatemeh, Karimi-Zarchi Mojgan, Gharebaghian Mahin, Kermani Tahere
Professor of gynecology, Tehran University of medical sciences, Iran.
Gynecologic Oncology fellowship, Shahid Sadoughi University of Medical Science, Yazd, Iran.
Int J Biomed Sci. 2017 Jun;13(2):119-121.
Myomectomy is the most common surgery with cesarean section. There is controversy between obstetricians about doing myomectomy with cesarean section. A 29 years old primigravida patient presented with a large lower segment myoma (20 cm.) who underwent myomectomy during cesarean section at the term pregnancy. Myoma weighted 1500 gr. She didn't have intra-operative hemorrhage or any post-partum complications. Seems that there is no absolute contra-indication for myomectomy during cesarean section specially if the surgeon has enough experience and the myoma is large, located at the lower segments.
子宫肌瘤剔除术是剖宫产术中最常见的手术。产科医生对于剖宫产时是否进行子宫肌瘤剔除术存在争议。一名29岁的初产妇，患有一个较大的下段肌瘤（20厘米），在足月妊娠剖宫产时接受了子宫肌瘤剔除术。肌瘤重1500克。她术中没有出血，也没有任何产后并发症。似乎剖宫产时进行子宫肌瘤剔除术没有绝对禁忌证，特别是如果外科医生有足够经验且肌瘤较大、位于下段时。
