Our Summary

This research paper discusses two successful cases of myomectomy (surgical removal of fibroids) carried out during pregnancy. Initially, it was believed that the tumors originated from the ovaries, but further investigation revealed that they were uterine fibroids. Both surgeries resulted in healthy babies delivered via C-section. The paper also reviews existing data on myomectomies during pregnancy, including details about the surgery and potential complications, as well as the outcomes for the mother and baby. From their analysis of 71 cases, they found that the procedure can be considered safe, with only three cases resulting in miscarriage and the rest leading to successful deliveries in the second or third trimester. However, they note that the available data on the safety of the procedure is limited and mostly comes from individual case reports, making it difficult to draw definitive conclusions on potential risks and complications.

FAQs

  1. What is a myomectomy and when is it carried out?
  2. What were the results of the research paper’s analysis of 71 myomectomy cases performed during pregnancy?
  3. Is it safe to have a myomectomy during pregnancy, according to the research paper?

Doctor’s Tip

A doctor might tell a patient considering myomectomy during pregnancy to carefully weigh the potential risks and benefits of the procedure. They may advise the patient to discuss their individual case with their healthcare provider to determine the best course of action for both them and their baby. It is important to have a thorough understanding of the procedure, possible complications, and expected outcomes before making a decision. Additionally, the doctor may recommend close monitoring and follow-up care throughout the pregnancy to ensure the health and well-being of both the mother and baby.

Suitable For

Patients who are typically recommended for myomectomy are those who have symptomatic fibroids that are causing pain, heavy menstrual bleeding, or fertility issues. In some cases, myomectomy may also be recommended for pregnant women who have large fibroids that are causing complications during pregnancy, such as preterm labor or fetal growth restriction. It is important for patients to discuss their individual situation with their healthcare provider to determine if myomectomy is the best treatment option for them.

Timeline

Before myomectomy:

  1. Patient experiences symptoms such as heavy menstrual bleeding, pelvic pain, and pressure.
  2. Patient undergoes diagnostic tests such as ultrasound or MRI to confirm the presence of uterine fibroids.
  3. Patient discusses treatment options with their healthcare provider, including the possibility of surgery.
  4. Patient may undergo pre-operative testing to assess their overall health and suitability for surgery.
  5. Patient schedules the myomectomy procedure with their healthcare provider.

After myomectomy:

  1. Patient undergoes the myomectomy surgery to remove the fibroids from the uterus.
  2. Patient is monitored closely post-surgery for any complications such as bleeding or infection.
  3. Patient may experience some pain and discomfort in the days following the surgery.
  4. Patient is advised to rest and avoid strenuous activities for a period of time to allow for proper healing.
  5. Patient follows up with their healthcare provider for post-operative care and monitoring of their recovery.
  6. Patient may experience improvements in symptoms such as decreased menstrual bleeding and relief from pelvic pain and pressure.
  7. Patient may consider fertility options if they are planning to become pregnant in the future.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with myomectomy during pregnancy?
  2. How will the surgery impact my pregnancy and the health of my baby?
  3. What is the success rate of myomectomy during pregnancy in terms of delivering a healthy baby?
  4. Will I need to have a C-section after the myomectomy?
  5. How long is the recovery time after a myomectomy during pregnancy?
  6. Will the fibroids come back after the surgery?
  7. What is the likelihood of needing additional surgeries in the future due to the fibroids?
  8. Are there any alternative treatments to consider instead of myomectomy during pregnancy?
  9. How will the surgery affect my fertility in the future?
  10. Are there any lifestyle changes or precautions I should take before or after the surgery?

Reference

Authors: Diakosavvas M, Angelou K, Fasoulakis Z, Kathopoulis N, Zacharakis D, Blontzos N, Antsaklis P, Haidopoulos D, Daskalakis G, Rodolakis A, Theodora M. Journal: J Obstet Gynaecol. 2022 Jul;42(5):757-765. doi: 10.1080/01443615.2022.2036976. Epub 2022 Mar 9. PMID: 35264054