Caesarean myomectomy in Aba, southeastern Nigeria

Myomectomy during caesarean section is usually avoided because of the vascular uterus that might bleed profusely. Even when the fibroids are located in the lower segment of the uterus many obstetricians would opt for a classical caesarean section despite the fact that it is more likely to rupture in subsequent pregnancy. Some obstetricians however believe that with careful case selection caesarean myomectomy may be safe. This is a report of three cases of caesarean myomectomy that were successfully carried out in the Nigerian Christian Hospital Aba Nigeria. (excerpt)