Re: caesarean myomectomy

From: ainsron (ainsron@sbcglobal.net)
Wed Oct 20 08:34:24 2004


I've done a couple also, but all have been pedunculated subserous myomata, one was fairly large - 6 to 7 cm, but a thin stalk. I wouldn't dig around in the myometrium to remove one.

Ronald E. Ainsworth

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Tuesday, October 19, 2004 7:18 PM To: Multiple recipients of list OB-GYN-L Subject: Re: caesarean myomectomy

At Fri, 15 Oct 2004, arunangsu de wrote: >
>what is the role of caesarean myomectomy nowadays in a
>case of 15*15 cm fibroid in the lower segment in a
>g2p1001 with 36 week pog?
>
>http://promotions.yahoo.com/new_mail

First I would only do a c-section for obstetrical indications having a 15 cm fibroid in the lower segment is not an indication by it self, second I would try and avoid the fibroid if c-section became necessarry, third if I did do a myomemectomy I would be prepared to do a hyst. Having said all that I have done a few myomemectomies at c-section and they all went soomthly, so its better to be lucky then good.

--
                                 Take care, John




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