Pune docs successfully conduct rare surgery on mother during full-term delivery

Doctors in Pune have successfully carried out a rare surgery called Caesarean Myomectomy on a woman during fullterm deliveryMyomectomy is a surgical removal of fibroids and is classified as rare during pregnancy due to the significant risk it poses to the mother and the fetus Performing this procedure on a pregnant uterus is very risky and can lead to heavy bleeding miscarriage and preterm labour According to research fibroids affect approximately 24 per cent of all pregnancies but surgical intervention during pregnancy is needed in less than 05 per cent cases Most of the fibroids are managed until after delivery unless they cause a lot of pain rapid growth or lifethreatening complicationsDespite the risks in rare and carefully selected cases a myomectomy during pregnancy becomes necessary and lifesavingThe medical team led by Dr Mansi Sharma obstetrician amp gynaecologist at Motherhood Hospital in Kharadi successfully managed the complex case involving a large uterine fibroid during pregnancy At 37 weeks the team carried out a planned caesarean section combined with a myomectomy a rare procedure due to the bleeding risks involved The surgery was completed smoothly resulting in the safe birth of a healthy baby and the successful removal of the fibroid This case underscores the importance of antenatal checkups early diagnosis expert clinical judgment and personalised care in handling highrisk pregnancies with uterine fibroidsThe mother a working professional in her early 30s came for a routine antenatal ANC checkup at the hospital in Kharadi During her ANC visit an ultrasound revealed a significant intramural myoma a fibroid located within the muscular wall of the uterus measuring 8 cm roughly the size of a small melon She also had multiple smaller fibroids measuring 1ndash2 cm Uterine fibroids are found in about 0810 per cent of all pregnancies depending on the population and diagnostic methods usedDespite the presence of this large fibroid Radhikarsquos pregnancy progressed without major complications like Intrauterine Growth Restriction IUGR foetal malpresentation or preterm labour However she did experience intermittent abdominal pain due to degeneration of the fibroid a condition where the fibroid outgrows its blood supply leading to tissue breakdown inflammation and painDr Sharma explained ldquoA myoma or uterine fibroid is a noncancerous growth in or around the uterus often influenced by hormonal changes While common in women of reproductive age large fibroids during pregnancy can lead to complications such as pain fetal position issues or delivery challenges Surgery is typically avoided during pregnancy due to the increased risk of heavy bleeding but in select cases a cesarean myomectomy removal of the fibroid during a Csection may be necessary to ensure safe delivery for both mother and babyrdquoShe added ldquoBy the third trimester the growing fibroid had caused cephalopelvic disproportion meaning the babyrsquos head could not descend into the pelvis due to the obstruction created by the myoma This situation necessitated a planned elective cesarean section at 37 weeks of gestation During the Csection the obstetric team successfully delivered the baby and simultaneously removed the 8 cm fibroid in a rare but wellexecuted procedure known as a cesarean myomectomy The procedure was uneventful leading to safe removal of the myoma without any breach in the uterine cavity or requirement of blood transfusionrdquoThe mother had a fullterm delivery and both mother and baby recovered well The smaller fibroids likely influenced by pregnancyrelated hormonal changes were left untouched as they typically shrink postpartum This case highlights the importance of regular ANC checkups timely diagnosis and individualized care in managing highrisk pregnancies involving large fibroids Cesarean myomectomy remains a rare but necessary intervention in select cases where fibroids significantly impact delivery outcomesrdquo said Dr Mansi SharmaldquoIrsquom truly grateful to Dr Mansi Sharma for giving me the safest delivery I could have hoped for Despite the fibroid they ensured my baby was born healthy and I came out of surgery without any complications Their constant support and expert care made all the differencerdquo concluded the patient