What is Myoma Surgery During Cesarean Section? Risks, Benefits and Recovery Process

Myoma surgery during Cesarean section is the simultaneous removal of fibroids in the uterus during the cesarean procedure during delivery. Myomas are benign tumors that develop in the muscle layer of the uterus and in some cases can grow in the uterus and affect pregnancy or birth. Removal of myomas during pregnancy is generally not preferred, but in some special cases, it may be necessary to remove myomas during a cesarean delivery.


 

What is Cesarean Myoma Surgery?

Cesarean Myoma Surgery is the process of removing fibroids in the uterus during a cesarean delivery. This surgery, called Myomectomy, can be performed at the same time as the uterus is accessed during a cesarean delivery. However, this method is usually planned carefully due to reasons such as the risk of bleeding and the prolonged healing process. The doctor decides whether this surgery will be performed by evaluating the location and size of the myoma and the patient's general health condition.

Basic Features of Myoma Surgery During Cesarean Section:

• Combined Surgery: Both delivery and removal of myomas are performed in a single surgery.
• For Risky Situations: It is preferred if the myomas cause problems in the uterus or are in a position where they can be easily removed during a cesarean section.
• Preferred for Special Situations: It is generally preferred for large myomas or myomas that may cause bleeding during delivery.

This procedure is performed when the myomas put pressure on the uterine wall or cause bleeding during pregnancy. may be necessary in case of opening.

What is Myoma?

Myoma are benign tumors that develop in the muscle layer of the uterus. They usually grow without symptoms, but in some cases, depending on their size and location in the uterus, they can cause serious problems. Myomas can grow especially during pregnancy and make birth difficult.

Definition and Types of Myomas:

• Submucosal Myomas: They are myomas that settle in the inner layer of the uterus and can cause problems such as bleeding.
• Subserosal Myomas: They are myomas that grow on the outer surface of the uterus.
• Intramural Myomas: They are myomas located within the uterine wall and as they grow, they disrupt the general structure of the uterus.

Myomas that grow during pregnancy can narrow the space for the baby and increase the need for a cesarean section.

Why is Myoma Surgery Performed During Cesarean Section?

Myomas usually do not cause any problems during pregnancy. However, in some cases, myomas can grow during pregnancy and put pressure on the uterus, causing complications such as bleeding, risk of premature birth, or closure of the birth canal. The main reason for removing myomas during a cesarean section is to remove fibroids from the uterus that may cause problems during or after birth.

Reasons for Removing Myomas During a Cesarean Section:

• Blocking of the Birth Canal: Myomas can block the birth canal, making it difficult to deliver the baby.
• Excessive Bleeding: Myomas can cause excessive bleeding during or after birth.
• Pain and Pressure in the Uterus: Myomas can cause pain by pressing on the uterus and surrounding tissues during pregnancy.

Such cases may necessitate myoma surgery during a cesarean section.

Who is Suitable for Myomectomy During Cesarean Section?

Myomectomy during Cesarean section is not performed on every patient. Doctors decide whether this surgery is necessary based on the size and location of the fibroids and the patient's general health.

Candidates for Myoma Surgery During Cesarean Section:

• Women with Large Fibroids: If the fibroids are large or blocking the birth canal, surgery may be appropriate.
• Those at Risk for Excessive Bleeding During Childbirth: In cases where fibroids increase the risk of bleeding, myomectomy can be performed via cesarean section.
• Those with Deterioration in the Structure of the Uterus: Fibroids can disrupt the general structure of the uterus and make birth difficult.

The decision for surgery is carefully made by the doctor, depending on each patient's condition. is evaluated.

How is Cesarean Section Myoma Surgery Performed?

Cesarean Section Myoma AThe surgery involves the removal of myomas from the uterus in addition to the classic cesarean section. Since the uterus is accessed during a cesarean section, if the myomas are in a suitable location and can be removed, this procedure can be performed.

Stages of Myoma Removal by Cesarean Section:

1. Cesarean Birth: First, the baby is removed from the uterus by cesarean section.
2. Removal of Myomas: The myomas in the uterus are carefully removed. This procedure can be more complicated depending on the size and number of fibroids.
3. Bleeding Control: Since the risk of bleeding is high after fibroids are removed, doctors control bleeding.
4. Stitching and Closure: The surgery is completed by closing both the uterus and the abdominal area.

This procedure can make the C-section more complicated and prolong the recovery process.

Benefits of Myomectomy During C-Section

Myomectomy during C-Section provides benefits in many ways. This combined procedure allows both delivery and removal of myomas with a single surgical intervention.

Main Benefits of Cesarean Section Myoma Surgery:

• Two Procedures with One Surgery: Removing myomas during a cesarean section solves the problem without the patient having to undergo two separate surgeries.
• Reduced Risk of Bleeding and Pain: The risk of myomas causing excessive bleeding during delivery is reduced.
• Advantages for Future Pregnancies: By removing myomas, the uterus remains healthy, which can reduce possible problems in future pregnancies.

These benefits make cesarean section myoma surgery unnecessary makes it a preferred method in such cases.

Risks of Myomectomy During Cesarean Section

Although myomectomy during Cesarean section is beneficial, it does carry some risks. These risks arise from the fact that a cesarean section is already a surgical procedure, and additional procedures may prolong the recovery period.

Possible Risks of Cesarean Section and Myoma Surgery:

• Excessive Bleeding: The risk of bleeding in the uterus may increase during the removal of myomas.
• Prolonged Recovery Time: The recovery period after a cesarean section may be longer due to the additional intervention.
• Uterine Damage: The uterus may be damaged during the removal of myomas from the uterine wall, and this may affect future births.

The decision to undergo surgery should be made carefully considering these risks.

Post-Cesarean Myoma Removal and Recovery Process

The recovery process for women who have undergone myoma surgery after a C-section may be a little longer than a standard C-section. There are some important points to consider after the surgery.

Recovery Process:

• Bed Rest: Rest is important for the first few weeks. Excessive physical activity should be avoided.
• Stitch Care: Hygiene should be taken into account against the risk of infection in the surgery area.
• Pain and Bleeding Control: Painkillers can be used after the surgery. In addition, in case of excessive bleeding, a doctor should be consulted.

Regular doctor check-ups should not be skipped during the recovery process.

Alternatives to Myoma Removal During Caesarean Section

Myoma removal during Caesarean section may not always be necessary. If myomas do not need to be removed or if surgery is considered risky, alternative treatment methods can be considered.

Alternatives to Myoma Surgery:

• Post-Cesarean Myomectomy: Removal of myomas with a separate surgery after birth.
• Laparoscopic Myomectomy: Removal of myomas with laparoscopy, a less invasive method.
• Drug Therapy: Hormone therapy can be applied to control myoma growth.

It is important to remember that every situation is different and to act in accordance with the doctor's recommendations.

Recommendations for Mothers Who Had Myomectomy by Cesarean Section

Women who had myomectomy by Cesarean section should be careful in the postoperative period. Since they had both a cesarean section and a myomectomy, their recovery process should be monitored carefully.

Recommendations After Surgery:

• Adequate Rest: It is important to get enough rest for the body to recover.
• Light Exercises: Light walks, as recommended by your doctor, may help with recovery.
• Regular Checkups: Regular doctor checkups are necessary to protect uterine health and prevent complications.

These precautions can help the recovery process go smoothly.

Complications of Cesarean Section and Myomectomy

Myomectomy surgery during Cesarean section may involve some complications. The risk of complications may increase due to both C-section and myoma removal.

Possible Complications:

• Anesthesia Complications: Side effects related to anesthesia may occur.
• Infection Risk: There is a risk of infection in the surgical area.
• Uterine Damage: Damage to the uterus may occur during the removal of myomas.

It is important to follow the doctor's recommendations and postoperative care instructions to prevent these complications.

Frequently Asked Questions (FAQ)

1. Is it safe to remove myomas during a C-section?

Myoma surgery during a C-section is safe when performed by experienced surgeons, but it carries risks such as bleeding and recovery time.

2. Do myomas grow during pregnancy?

Yes, the increase in hormones during pregnancy can cause myomas to grow.

3. Does myoma removal during a C-section prolong recovery time?

Yes, the recovery period may be longer in C-sections where myomectomy is performed.

4. Can myomas grow back after removal?

Yes, there is a possibility that myomas may reoccur after removal.

5. Does fibroid removal affect fertility?

The location where fibroids are removed and the damage done to the uterus can affect fertility, but in most cases fertility is preserved.