General Gynecology and Pelvic Floor
Elham Akbari; Fereshteh Sarbazi; Behnaz Nouri; Anita Karimi; Sahar Khoshravesh
Volume 9, Issue 3 , May and June 2024, , Pages 16-16
Abstract
Background: Nowadays, the prevalence of uterine myoma in pregnant women has increased due to the increasing age of pregnancy in women. Due to the possibility of bleeding andmiscarriage, the surgical management of uterine myoma with myomectomy is limited, andmany obstetricians and gynaecologists recommend ...
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Background: Nowadays, the prevalence of uterine myoma in pregnant women has increased due to the increasing age of pregnancy in women. Due to the possibility of bleeding andmiscarriage, the surgical management of uterine myoma with myomectomy is limited, andmany obstetricians and gynaecologists recommend that myomectomy be performed afterdelivery. In this case report, a pregnant woman (window period) with a negative result of ßhCG test and ultrasound in terms of pregnancy undergoes myomectomy surgery to remove a large uterine myoma.Case presentation: A 40-year-old patient referred to the physician because of vaginalbleeding caused by a large uterine myoma and primary infertility for 10 years. ßhCG test andultrasound of the patient was negative in terms of pregnancy and she underwentmyomectomy surgery while the patient is in the early stages of pregnancy (window period).Therefore, the patient was under the supervision of a gynecologist and was visited everyweek. With continuous follow-up, the newborn was born without any problems at 37 weeks. Conclusion: Although in this study with proper management during surgery, progesteronetherapy and continuous and regular follow-ups, the newborn was born healthy, butconfirmation of myomectomy during pregnancy requires the implementation of more studies.
Obstetrics and Gynecology
Farima Rahimi Mansour; Farah Farzaneh; Mohammad Mahdi Dabbagh; Amirreza Keyvanfar
Volume 8, Issue 5 , September and October 2023, , Pages 488-493
Abstract
Background & Objective: Aluminum (Al) is used in different industries to produce cosmetics, supplements, drugs, food packaging, toothpaste, kitchen utensils, and antiperspirants. Uterine fibroid (UF) is women's most prevalent benign tumor during the reproductive ages. Since Al can accumulate ...
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Background & Objective: Aluminum (Al) is used in different industries to produce cosmetics, supplements, drugs, food packaging, toothpaste, kitchen utensils, and antiperspirants. Uterine fibroid (UF) is women's most prevalent benign tumor during the reproductive ages. Since Al can accumulate in the body's organs, it may play a role in the pathogenesis of UF. This study aimed to measure Al levels in serum and uterine samples (normal uterine tissue of control and UF patients, and leiomyoma of UF patients).Materials & Methods: In this descriptive study, we included ten women who underwent hysterectomy (five women due to UF and five women for a reason other than UF). Samples were obtained from serum, normal uterine tissue, and leiomyoma. Tissue and serum samples were digested with nitric acid (HNO3) and hydrogen peroxide (H2O2). Eventually, the Al levels in samples were analyzed by inductively coupled plasma atomic emission spectroscopy (ICP-AES).Results: Al level was higher in the serum of the control group compared with UF patients (326.8 ± 360.8 µg/L vs. 211.2 ± 56.4 µg/L, P =0.310). Al level was higher in the control group compared with the normal tissue of UF patients (410.2 ± 244.7 µg/L vs. 300 ± 138.0 µg/L, P=0.465). Besides, leiomyoma had a higher Al level compared with the normal tissue of UF patients (1482.2 ± 2062.9 µg/L vs. 300 ± 138.0 µg/L, P=0.138).Conclusion: The results showed that Al levels of tissue and serum samples in various groups differed, but these differences were not statistically significant.
Obstetrics and Gynecology
M. Madhubala; Mansi Shukul; C. Kasthuri
Volume 6, Issue 4 , August 2021, , Pages 167-173
Abstract
Background & Objective: Uterine fibroids (UF) in pregnancy is a condition, where symptomatic or asymptomatic fibroids in the uterine cavity may cause complications in pregnancies. Placental abruption and preterm labor, occurs in late pregnancy, postpartum hemorrhage, caesarean section and retained ...
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Background & Objective: Uterine fibroids (UF) in pregnancy is a condition, where symptomatic or asymptomatic fibroids in the uterine cavity may cause complications in pregnancies. Placental abruption and preterm labor, occurs in late pregnancy, postpartum hemorrhage, caesarean section and retained placenta in perinatal period. This study aimed to reckon whether the surgical Caesarean myomectomy is still a gold standard in myoma removal in pregnant women.Materials & Methods: This study was retrospectively conducted in pregnant women deliveries with uterine fibroids who underwent Myomectomy with lower segment caesarean section (LSCS). The caesarean myomectomy cases were compared with LSCS alone controls in 1:2 ratio. The primary outcome is to minimize blood loss and need for blood transfusion. The secondary outcome is the length of surgery duration and hospital stay.Results: The outcome of case and control compared was 43 caesarean myomectomy with LSCS as case group and 86 LSCS Alone as control group. The incidence of hemorrhage in case group was 10 out of 43 while control was 2 out of 86 (2.32%) with P-value of 0.0017. The secondary outcome was the length of surgery duration and hospital stay which were found statistically significant between the case and control groups, with P-value = 0.0001 and 0.0072, respectively.Conclusion: Caesarean Myomectomy can be the effective surgical option to enucleate uterine myoma, and preserve uterus and jettison from eventful or symptomatic uterine fibroids. To have the chances for prevention of immediate or interval - myomectomy / hysterectomy and control of post-partum menstrual over bleeding.
