Caesarean myomectomy: controversy, complications and clinical decisions

Myomectomy performed during caesarean section re­mains a subject of controversy due to the potential for asso­cia­ted complications, particularly with large myomas. Many obstetricians refrain from performing caesarean myo­mec­to­my because of concerns about the risk of un­con­trol­la­ble hemorrhage. However, as the prevalence of preg­nant wo­men with myomas rises, the likelihood that phy­si­cians will encounter this issue is also increasing. Cur­rent guide­lines encourage performing myomectomy du­ring caesarean sec­tion in carefully selected cases, when con­duc­ted by ex­pe­rienced surgeons under appropriate conditions.