Tropical Journal of Obstetrics and Gynaecology

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 37  |  Issue : 1  |  Page : 156--159

Surgical management of uterine fibroids in a tertiary hospital in south-west Nigeria


Obehioye O Enabor1, Folasade A Bello2 
1 Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria
2 Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria

Correspondence Address:
Dr. Folasade A Bello
Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Ibadan
Nigeria

Context: Symptomatic uterine fibroids are frequently encountered in gynecological practice in black populations. An evaluation of the surgical management is in order to audit practice, highlight complications, and facilitate care. Aims: This study aimed to evaluate morbidity following abdominal myomectomy and hysterectomy for symptomatic uterine fibroids. Settings and Design: A cross-sectional study retrospectively reviewing cases of symptomatic uterine fibroids that were managed surgically at a tertiary hospital in south-west Nigeria. Methods and Material: Surgeries performed over a five-year period were retrieved from the gynecological theatre of the hospital. The case notes were retrieved and information on socio-demographic, perioperative and postoperative characteristics was obtained. Statistical analysis used: Chi-square tests and Student's-t tests were performed to evaluate categorical and continuous variables, respectively. Significant P was set at < 0.05. Results: Of 214 eligible cases, 79 (36.9%) had hysterectomy and 135 (63.1%) had myomectomy. No other surgical treatment methods were employed. Age was the only significant socio-demographic feature; younger women were more likely to have myomectomy (P < 0.001). Mean blood loss and transfusion rates were comparable between the two groups. Complications included hemorrhage in 36.0%, wound infection in 4.7%, and postoperative fever in 1.9%. There were no conversions of myomectomy to hysterectomy and no mortalities. There was no significant difference in the prevalence of complications in either surgery group. Conclusions: Apart from hemorrhage, morbidities were few in this series. Gynecologists should ensure adequate preparations to control blood loss before and during fibroid surgery.


How to cite this article:
Enabor OO, Bello FA. Surgical management of uterine fibroids in a tertiary hospital in south-west Nigeria.Trop J Obstet Gynaecol 2020;37:156-159


How to cite this URL:
Enabor OO, Bello FA. Surgical management of uterine fibroids in a tertiary hospital in south-west Nigeria. Trop J Obstet Gynaecol [serial online] 2020 [cited 2020 Nov 28 ];37:156-159
Available from: https://www.tjogonline.com/article.asp?issn=0189-5117;year=2020;volume=37;issue=1;spage=156;epage=159;aulast=Enabor;type=0