Large submucous myoma in pregnancy: is caesarean myomectomy an option

C. Maier, R. Vlădăreanu, R. Tocariu, M. Șerban, M. Olinca, M. Mitran, E. Brătilă

Rezumat: The optimal management of leiomyomas during caesarean delivery remains unclear, as it may be considered feasible and a safe procedure, or an absolute contraindication. Recent meta-analyses suggest that caesarean myomectomy is associated with clinical insignificant increase in operative time, blood loss and hospital stay, especially with multiple and large-size myomas, and should be taken into consideration by experienced surgeons with appropriate hemostatic techniques and tertiary-care centers. We present the case of a patient diagnosed with a large submucous leiomyoma who underwent caesarean myomectomy, with an excellent postoperative outcome. We also review the most recent data published in literature regarding the advantages and downsides of performing this surgical intervention.
Cuvinte cheie: pregnancy, myoma, caesarean myomectomy.