Caesarean myomectomy in a tertiary health facility in southern Nigeria: Report of a series of successful cases

Uterine leiomyoma is the commonest tumour of the uterus with incidence of about 20-40% in reproductive age women. Treatment of leiomyoma during caesarean section remains a controversial subject in spite of advancement in medical treatment. The reasons for avoiding caesarean myomectomy include increased risk of haemorrhage during surgery, prolonged operation time and increased risk of adhesion formation. With recent advances in reduction of blood loss during myomectomy such as use of myoma clamp or uterine tourniquet to occlude uterine arteries and use of vasopressins, good outcomes may be achieved in carefully selected cases. Here, the authors report a case series of 6 patients where myomectomy was performed during caesarean section for multiple uterine fibroids of different sizes in pregnancy with good outcomes.