WEBVTT 00:00:00.437 --> 00:00:04.347 Myomectomy:Implications for the patient in the future 00:00:04.347 --> 00:00:08.277 And a patient for whom the abdominal cavity has been opened 00:00:08.277 --> 00:00:10.861 for during the procedure of myomectomy 00:00:10.861 --> 00:00:12.946 should be advised on future delivery 00:00:12.946 --> 00:00:14.698 because she is not going to be a candidate for 00:00:14.698 --> 00:00:17.451 vaginal delivery after this procedure 00:00:17.451 --> 00:00:20.705 otherwise, the risk of the patient with 00:00:20.705 --> 00:00:25.124 myomectomy especially if it is not a difficult procedure 00:00:25.124 --> 00:00:29.124 they can try vaginal delivery in the future. 00:00:29.338 --> 00:00:32.000 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