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Gynaecology & Obstetrics FMGE 2018 e4241f7d

Which of these types of fibroid may be removed at the time of a cesarean section?

A
Pedunculated fibroid
B
Broad ligament fibroid
C
Cervical fibroid
D
Intramural
High-Yield Explanation
A myomectomy should not be performed during a caesarean section as the uterus is extremely vascular at this time and any attempt at a myomectomy can lead to torrential bleeding. However a pedunculated fibroid may be removed by clamping and ligating the pedicle, if easily accessible.

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