Polymyomectomy during Cesarean Section at the University Hospital Center of Brazzaville (Congo): About a Case and Review of the Literature  

作　　者：Buambo Gauthier Regis Jostin Potokoué Mpia Nuelly Samantha Bialay Eouani Max Levy Emmery Ikobo Mokoko Jules César Itoua Clautaire Buambo Gauthier Regis Jostin;Potokoué Mpia Nuelly Samantha Bialay;Eouani Max Levy Emmery;Ikobo Mokoko Jules César;Itoua Clautaire(Department of Obstetrics and Gynecology, University Hospital of Brazzaville, Brazzaville, Republic of the Congo;Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of the Congo;Department of Gynecology and Obstetrics, Loandjili Reference Hospital, Pointe-Noire, Republic of the Congo)

机构地区：[1]Department of Obstetrics and Gynecology, University Hospital of Brazzaville, Brazzaville, Republic of the Congo [2]Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of the Congo [3]Department of Gynecology and Obstetrics, Loandjili Reference Hospital, Pointe-Noire, Republic of the Congo

出　　处：《Open Journal of Obstetrics and Gynecology》2024年第10期1591-1601,共11页妇产科期刊（英文）

摘　　要：Introduction: Myomectomy during cesarean section has long been a controversial subject. The increased risk of intraoperative hemorrhage and potential hysterectomy has led many teams to contraindicate it, postponing it three to six months after delivery, thus giving more time for uterine involution, myoma shrinkage and reducing operative time and blood loss. Clinical Observation: We report the case of a polymyomectomy after use of a segmental tourniquet and bilateral ligation of the hypogastric arteries during a cesarean section for hemorrhagic placenta previa at the end of a spontaneous pregnancy of 28 weeks of amenorrhea in a 42-year-old nulliparous primigravida patient. Conclusion: Polymyomectomy during cesarean section is possible and requires knowledge of preventive hemostasis techniques and surgical experience.Introduction: Myomectomy during cesarean section has long been a controversial subject. The increased risk of intraoperative hemorrhage and potential hysterectomy has led many teams to contraindicate it, postponing it three to six months after delivery, thus giving more time for uterine involution, myoma shrinkage and reducing operative time and blood loss. Clinical Observation: We report the case of a polymyomectomy after use of a segmental tourniquet and bilateral ligation of the hypogastric arteries during a cesarean section for hemorrhagic placenta previa at the end of a spontaneous pregnancy of 28 weeks of amenorrhea in a 42-year-old nulliparous primigravida patient. Conclusion: Polymyomectomy during cesarean section is possible and requires knowledge of preventive hemostasis techniques and surgical experience.

关 键 词：Polymyomectomy Caesarean Section TOURNIQUET Vascular Ligation BRAZZAVILLE 

分 类 号：R73[医药卫生—肿瘤]