TITLE:
Surgical Management of Uterine Fibroids: About 175 Cases
AUTHORS:
Ngom Papa Malick, Faye Marie Edouard, Gaye Yaye Fatou, Sylla Mafing Aya, Niang Ndama, Samb Abdoulaye Ndiogou, Bentaleb Hajar, Inzale Mohamed Amine, Koné Madjiguène
KEYWORDS:
Uterine Fibroid, Myomectomy, Pelvic Ultrasound
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.3,
March
22,
2023
ABSTRACT: Background: Uterine fibroids are a common condition in Senegal and often
symptomatic. Our study aims to determine the epidemiological profile, to
clarify the diagnostic aspects and to evaluate the surgical management of
patients with uterine fibroids. Patients and Method: We carried out a
retrospective and descriptive study carried out over a period of 30 months,
from August 1, 2017 to January 31, 2020, concerning all patients who underwent
surgery for the treatment of uterine myomatosis in the department of Gynecology
Obstetrics of the Hospital Principal of Dakar. The data was collected from the
patients’ medical records and analyzed using Excel version 2016 and R version 4
software. Results: We collected 175 surgical interventions for uterine
fibroids, representing 44.7% of gynecological interventions. Most of the
patients were between 30 and 39 years old, with an average age of 39 years. The
nulliparous were the majority with 64.6%. The clinical symptomatology was
represented by genital bleeding (32.6%), pelvic pain (18.85%) and infertility
(12.6%). The diagnosis was confirmed by pelvic ultrasound in all patients with
variable myoma topography. A myomectomy was performed in 82.3% of cases and a
total hysterectomy in 17.7%. The postoperative course was simple in 94.2% of
cases, and the results of treatment revealed a disappearance of symptoms in
94.3% of cases. Conclusion: Surgery occupies a prominent place in the
management of uterine fibroids.