A successful antenatal myomectomy

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Complications that may occur while performing myomectomy in pregnancy can be prevented in a well-optimised surgery. Counselling and comprehensive peri-operative preparations are mandatory to minimise litigations and untoward events. Myomectomy in pregnancy remains a contentious issue. Degeneration of fibroid during pregnancy is common. However, conservative management suffices in majority of cases. In nonresponsive conservative treatment, myomectomy may be an option. This article discusses our experience in treating a 38-year-old woman in her fourth pregnancy at 15 weeks gestation with symptomatic uterine fibroid. She had persistent abdominal pain since nine weeks gestation. She developed fever and acute abdomenat at 15 weeks and the uterus was larger than dates.Ultrasound scan confirmed single pregnancy with a large intramural fibroid showing degenerative changes. A myomectomy was performed as a preventive measure to prevent massive haemorrhage. Although performing myomectomy during pregnancy is considered controversial, complications can be minimised with properly-planned surgery.

Original languageEnglish
Pages (from-to)42-45
Number of pages4
JournalMalaysian Family Physician
Volume7
Issue number2-3
Publication statusPublished - 2012

Fingerprint

Uterine Myomectomy
Pregnancy
Leiomyoma
Jurisprudence
Abdominal Pain
Uterus
Counseling
Fever

Keywords

  • Fibroid
  • Haemorrhage
  • Myomectomy
  • Obstetrics
  • Pregnancy

ASJC Scopus subject areas

  • Family Practice
  • Community and Home Care

Cite this

A successful antenatal myomectomy. / Shafiee, Mohamad Nasir; Mohamed Ismail, Nor Azlin; Arifuddin, D.

In: Malaysian Family Physician, Vol. 7, No. 2-3, 2012, p. 42-45.

Research output: Contribution to journalArticle

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