title: Safety of caesarean myomectomy.
abstract: BACKGROUND
  Uterine fibroids are the most common type of tumours in women arising from uterine myometrium and less commonly from cervix. Objective of the study was to check the safety of caesarean myomectomy.
  
  
  METHODS
  Patients attending Gynaecology-B Unit of Ayub Teaching Hospital having pregnancy with fibroid and undergoing myomectomy along with caesarean section (CS) were included in this prospective study during Jan 2010-Dec 2011. Intra-operative and postoperative maternal morbidity in terms of blood loss, operative time and length of hospital stay was compared to matched pregnant woman with caesarean section alone.
  
  
  RESULTS
  Out of 6,000 antenatal mothers registered during the study period myoma was detected in 96 (1.6%) cases. Mean age of mother having myoma was 28 years, 70% were primigravida, and mean haemoglobin was 10.56 gm%. Size of myoma was 12 Cm in 30% cases 5 Cm in 23% and more than 1 myoma in 60% cases. There was no significant difference in intra-operative haemorrhage and length of hospital state in comparison matched women with CS although operating time was double than later. None required caesarean hysterectomy.
  
  
  CONCLUSIONS
  Myomectomy can be safely performed in majority of carefully selected patients with myomas without any serious life threatening complications.
authors.affiliation: Department of Obstetrics and Gynaecology, Ayub Medical College, Abbottabad, Pakistan. Ruqqia_sultana@yahoo.com
authors.forename: Ruqqia
authors.initials: R
authors.lastname: Sultana
authors.affiliation: Department of Obstetrics and Gynaecology, Ayub Medical College, Abbottabad, Pakistan.
authors.forename: Shehla
authors.initials: S
authors.lastname: Noor
authors.affiliation: Department of Pathology, Ayub Medical College, Abbottabad.
authors.forename: Ali Fawwad
authors.initials: AF
authors.lastname: Nazar
authors.affiliation: NIMS Medical College, Abbottabad, Pakistan.
authors.forename: Nasreen
authors.initials: N
authors.lastname: Abbasi
authors.affiliation: Department of Obstetrics and Gynaecology, Ayub Medical College, Abbottabad, Pakistan.
authors.forename: Rubina
authors.initials: R
authors.lastname: Bashir
authors.affiliation: Department of Obstetrics and Gynaecology, Ayub Medical College, Abbottabad, Pakistan.
authors.forename: Bushra
authors.initials: B
authors.lastname: Khan
authors.affiliation: Department of Obstetrics and Gynaecology, Ayub Medical College, Abbottabad, Pakistan.
authors.forename: Faiza
authors.initials: F
authors.lastname: Saleem
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay / Q000706:statistics & numerical data; D061646:Operative Time; D010154:Pakistan; D011247:Pregnancy; D011446:Prospective Studies; D012449:Safety; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*