Open Journal of Obstetrics and Gynecology

Volume 14, Issue 10 (October 2024)

ISSN Print: 2160-8792   ISSN Online: 2160-8806

Google-based Impact Factor: 0.61  Citations  

Polymyomectomy during Cesarean Section at the University Hospital Center of Brazzaville (Congo): About a Case and Review of the Literature

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DOI: 10.4236/ojog.2024.1410130    33 Downloads   224 Views  

ABSTRACT

Introduction: Myomectomy during cesarean section has long been a controversial subject. The increased risk of intraoperative hemorrhage and potential hysterectomy has led many teams to contraindicate it, postponing it three to six months after delivery, thus giving more time for uterine involution, myoma shrinkage and reducing operative time and blood loss. Clinical Observation: We report the case of a polymyomectomy after use of a segmental tourniquet and bilateral ligation of the hypogastric arteries during a cesarean section for hemorrhagic placenta previa at the end of a spontaneous pregnancy of 28 weeks of amenorrhea in a 42-year-old nulliparous primigravida patient. Conclusion: Polymyomectomy during cesarean section is possible and requires knowledge of preventive hemostasis techniques and surgical experience.

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Jostin, B. , Bialay, P. , Emmery, E. , César, I. and Clautaire, I. (2024) Polymyomectomy during Cesarean Section at the University Hospital Center of Brazzaville (Congo): About a Case and Review of the Literature. Open Journal of Obstetrics and Gynecology, 14, 1591-1601. doi: 10.4236/ojog.2024.1410130.

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