Successful Myomectomy in the Second Trimester of Pregnancy
The prevalence of uterine myomas during pregnancy is estimated to be small. However, a significant fraction of these could lead to pregnancy complications. Myomectomy is rarely performed during pregnancy because of fear of miscarriage and the risk of uncontrolled hemorrhage necessitating hysterectom...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Advanced Biomedical Research |
| Subjects: | |
| Online Access: | http://www.advbiores.net/article.asp?issn=2277-9175;year=2019;volume=8;issue=1;spage=60;epage=60;aulast=Allameh |
| _version_ | 1811286988378079232 |
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| author | Zahra Allameh Tajossadat Allameh |
| author_facet | Zahra Allameh Tajossadat Allameh |
| author_sort | Zahra Allameh |
| collection | DOAJ |
| description | The prevalence of uterine myomas during pregnancy is estimated to be small. However, a significant fraction of these could lead to pregnancy complications. Myomectomy is rarely performed during pregnancy because of fear of miscarriage and the risk of uncontrolled hemorrhage necessitating hysterectomy. This article reports on a case of myomectomy of subserous leiomyoma that was causing septic necrosis, leukocytosis, rise of inflammatory markers (erythrocyte sedimentation rate and C-reactive protein), and pressure symptom on the liver. Myomectomy was performed at 20 weeks of gestation. The pregnancy continued with no further problems, and at 39 weeks and 1 day of gestation, vaginal delivery resulted in a healthy baby. It is postulated that when myomectomy is performed in carefully selected patients, it prevents sepsis due to myoma torsion and necrosis and also protects surrounding organs against damage. |
| first_indexed | 2024-04-13T03:10:36Z |
| format | Article |
| id | doaj.art-418b4f1904ff48738cb071d240d943bb |
| institution | Directory Open Access Journal |
| issn | 2277-9175 |
| language | English |
| last_indexed | 2024-04-13T03:10:36Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advanced Biomedical Research |
| spelling | doaj.art-418b4f1904ff48738cb071d240d943bb2022-12-22T03:05:05ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752019-01-0181606010.4103/abr.abr_236_18Successful Myomectomy in the Second Trimester of PregnancyZahra AllamehTajossadat AllamehThe prevalence of uterine myomas during pregnancy is estimated to be small. However, a significant fraction of these could lead to pregnancy complications. Myomectomy is rarely performed during pregnancy because of fear of miscarriage and the risk of uncontrolled hemorrhage necessitating hysterectomy. This article reports on a case of myomectomy of subserous leiomyoma that was causing septic necrosis, leukocytosis, rise of inflammatory markers (erythrocyte sedimentation rate and C-reactive protein), and pressure symptom on the liver. Myomectomy was performed at 20 weeks of gestation. The pregnancy continued with no further problems, and at 39 weeks and 1 day of gestation, vaginal delivery resulted in a healthy baby. It is postulated that when myomectomy is performed in carefully selected patients, it prevents sepsis due to myoma torsion and necrosis and also protects surrounding organs against damage.http://www.advbiores.net/article.asp?issn=2277-9175;year=2019;volume=8;issue=1;spage=60;epage=60;aulast=Allamehleiomyomalive birthmyomectomypregnancy |
| spellingShingle | Zahra Allameh Tajossadat Allameh Successful Myomectomy in the Second Trimester of Pregnancy Advanced Biomedical Research leiomyoma live birth myomectomy pregnancy |
| title | Successful Myomectomy in the Second Trimester of Pregnancy |
| title_full | Successful Myomectomy in the Second Trimester of Pregnancy |
| title_fullStr | Successful Myomectomy in the Second Trimester of Pregnancy |
| title_full_unstemmed | Successful Myomectomy in the Second Trimester of Pregnancy |
| title_short | Successful Myomectomy in the Second Trimester of Pregnancy |
| title_sort | successful myomectomy in the second trimester of pregnancy |
| topic | leiomyoma live birth myomectomy pregnancy |
| url | http://www.advbiores.net/article.asp?issn=2277-9175;year=2019;volume=8;issue=1;spage=60;epage=60;aulast=Allameh |
| work_keys_str_mv | AT zahraallameh successfulmyomectomyinthesecondtrimesterofpregnancy AT tajossadatallameh successfulmyomectomyinthesecondtrimesterofpregnancy |