TITLE:
Uterine Leiomyomas Surgery: Assessment of Five Years in the Gynecology Department of Hôpital du Mali
AUTHORS:
Mamadou Bakary Coulibaly, Alassane Traoré, Mody Abdoulaye Camara, Adama Sangaré, Issa Ongoiba, Mamadou Keïta, Kalba Tembine, Amadou Sidibé, Ibrahim Teguete, Youssouf Traore
KEYWORDS:
Uterine Leiomyomas, Surgery, Hôpital du Mali
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.9,
September
15,
2021
ABSTRACT: Uterine leiomyomas (myomas) are the most common benign tumors of the
female genital tract. They affect 20% to 25%
of women of childbearing age and are 3 to 9 times more common in black women.
We initiated this study in order to report the socio-demographic aspects and
the indications for leiomyomas surgery at Hôpital
du Mali. This was a retro-prospective descriptive study, conducted in the
gynecology department of Hôpital du Mali from January 1, 2015 to December 31,
2019. Any patients, regardless of their age, in whom a leiomyomas had been detected
and surgically treated were included. We had collected 180 cases of surgery for
leiomyomas out of 950 surgical procedures, with a frequency of 18.94%. The 36 - 45 age
group represented 45% of our patients with an average age of 35 years.
Nulligravida accounted for 48.9% and nulliparous (60%). The main reason for
consultation was the desire to become pregnant (53.33%). A history of
myomectomy was found out in 15.55% of patients. Pelvic ultrasound figured out
64.44% interstitial myomas. Myomectomy was performed in 88.88% of cases and
hysterectomy in 11.12% of cases. Among our patients 39.37% had become pregnant.
Operative complications were dominated by anemia 14.44%. Leiomyoma was the
histological tissue found in all cases of myomectomy. The average duration of hospitalization was 3 days. Conclusion: Leiomyomas
surgery is the first scheduled gynecological surgical activity.
Laparotomy remains the primary route of entry. The indications are dominated by
the desire for pregnancy.