Successful caesarean myomectomy in primigravidae: Case series

Even though myomectomy during caesarean section is usually avoided due to the risks of bleeding and postoperative complications, it can be done successfully with careful patient selection and, in some cases, in an emergency, with the presence of a competent surgeon and access to blood transfusion facilities. This was proved by two cases of primigravidae women who underwent an emergency and an elective caesarean myomectomy. The bleeding was successfully controlled by two-layer closure of the caesarean and myomectomy incisions and the administration of oxytocin misoprostol, tranexamic acid and application of uterine compression sutures resulting in a positive outcome for both mothers and babies, who were discharged on day four and seven after surgery respectively.