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Re: abdominal pregancy and a myomatous uterusFrom: Dr George SH Yeo (mfm93b@technet.sg)Sun Oct 22 21:02:35 1995
> >I did a salpingectomy, preserving the ovary and took part of the omentum. >Blood loss minimal. Recovery is excellent. > >I am wondering now, in retrospect should I have taken out the myoma >at the same time? > You could have taken the myoma out at a dear price. I was called to the OT some 9 months ago for an abd pregnancy. It was supposed to be an el c/s for transverse lie. The pregnancy was implanted at the R cornual end of the uterus from the serosal surface and the whole placenta,membraines and the baby(delivered by then) was outside. There was already a rapidly enlarging haematoma between the plac and the uterus tracking under the membraines. Despite several large stitches to both lateral aspects of the uterus to arrest the ascending utrine arteries, the wedged resection of the R corneal end resulted in 4-5 litres(I cannot remember exact amount) of blood loss by the time all is done. The patient went into DIVC and 'out of it' again through the op. Interestingly, the uterus went into atony momentarily (anoxic?) and poured half way throu the op but remained contracted after. She was well post op and recovered no worse than her neighbour and would not have known what we have gone through in the OT. I suppose your myomect would be as eventful unless you are having an exceptional circumstance. Dr George SH Yeo Head Tel: (65) 3906713 Maternal Fetal Medicine Fax: (65) 3524260 KK Hospital (65) 2936415 1, Hampshire Road Singapore 0821 mfm93b@technet.sg
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