0:00:00.437,0:00:04.347 Myomectomy:Implications for the patient in the future 0:00:04.347,0:00:08.277 And a patient for whom the abdominal cavity has been opened 0:00:08.277,0:00:10.861 for during the procedure of myomectomy 0:00:10.861,0:00:12.946 should be advised on future delivery 0:00:12.946,0:00:14.698 because she is not going to be a candidate for 0:00:14.698,0:00:17.451 vaginal delivery after this procedure 0:00:17.451,0:00:20.705 otherwise, the risk of the patient with 0:00:20.705,0:00:25.124 myomectomy especially if it is not a difficult procedure 0:00:25.124,0:00:29.124 they can try vaginal delivery in the future. 0:00:29.338,0:00:32.000 Instructor: Dr. Malede Birara, St. Paul Hospital Millennium Medical College (SPHMMC). Filming and Editing by Kathleen Omollo University of Michigan, and Yetemwork Abay Benti, SPHMMC