Sujit Das1 , Salilbindu Chakrabarti2
BACKGROUND Myoma associated with pregnancy is increasing alarmingly due to delay in childbearing because of higher educational period associated with craze for professional establishment leading to late marriage. Conventionally, concomitant myomectomy during Caesarean section was considered a relative contraindication. Our aim was to assess the feasibility and outcome of Intracapsular Caesarean Myomectomy among women undergoing Caesarean section. METHODS A cross sectional study was conducted in 24 well selected patients with myoma in gravid uterus undergoing elective Caesarean section for one year from January 2019. Intraoperative haemorrhage, postoperative haemorrhage, change in haematocrit, length of operation, length of postpartum stay, postoperative pain, and postoperative fever were recorded and evaluated. RESULTS Average intraoperative blood loss in 24 cases was 747.92 mL. Std. deviation was 235.6. Only in 2 cases there was intraoperative blood loss of more than 1000 mL and in one case Hb drop more than 3 gm/dL. No patient had significant blood loss, severe pain, and fever postoperatively. Almost all patients were discharged on postoperative day 5. CONCLUSIONS In well selected cases of fibroid, in gravid uterus with good preoperative haemoglobin, intracapsular Caesarean myomectomy is feasible and beneficial to the patient.
