TITLE:
Polymyomectomy during Cesarean Section at the University Hospital Center of Brazzaville (Congo): About a Case and Review of the Literature
AUTHORS:
Buambo Gauthier Regis Jostin, Potokoué Mpia Nuelly Samantha Bialay, Eouani Max Levy Emmery, Ikobo Mokoko Jules César, Itoua Clautaire
KEYWORDS:
Polymyomectomy, Caesarean Section, Tourniquet, Vascular Ligation, Brazzaville
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.10,
October
25,
2024
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.