Hysterectomy in the Hausa/Fulani population in Nigeria

Ezem, BU; Otubu, J. A. M.

doi:10.1016/0020-7292(81)90054-0

Cited by 10 publications

(10 citation statements)

References 5 publications

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“…Sato et al (Sato et al 2000b) in Japan stated that "uterine leiomyomas are the most common pelvic tumors" but provided no data of the actual prevalence among their patients. Others (Ezem and Otubu 1981) have cited a 68% incidence of uterine fibromyomata among their hysterectomy cases in Nigeria. A study from Malaysia (Ravindran and Kumaraguruparan 1998) (Debodinance 2001).…”

Section: Geographic Differencesmentioning

confidence: 99%

Etiology and pathogenesis of uterine leiomyomas: a review.

Flake

Andersen

Dixon

2003

Environ Health Perspect

492

392

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Uterine leiomyomas, or fibroids, represent a major public health problem. It is believed that these tumors develop in the majority of American women and become symptomatic in one-third of these women. They are the most frequent indication for hysterectomy in the United States. Although the initiator or initiators of fibroids are unknown, several predisposing factors have been identified, including age (late reproductive years), African-American ethnicity, nulliparity, and obesity. Nonrandom cytogenetic abnormalities have been found in about 40% of tumors examined. Estrogen and progesterone are recognized as promoters of tumor growth, and the potential role of environmental estrogens has only recently been explored. Growth factors with mitogenic activity, such as transforming growth factor-β 3, basic fibroblast growth factor, epidermal growth factor, and insulin-like growth factor-I, are elevated in fibroids and may be the effectors of estrogen and progesterone promotion. These data offer clues to the etiology and pathogenesis of this common condition, which we have analyzed and summarized in this review.

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Section: Geographic Differencesmentioning

confidence: 99%

Etiology and pathogenesis of uterine leiomyomas: a review.

Flake

Andersen

Dixon

2003

Environ Health Perspect

492

392

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“…The peak age for the procedure was the fifth decade (40-49). Estimated age range is 31-60 years (5,8,(10)(11)(12). The average parity in our study was four with a range of 0-11.…”

Section: Discussionmentioning

confidence: 99%

“…This may involve removal of the fallopian tube and ovary depending on clinical indication, age and parity of the woman (4). The procedure is not well embraced in developing countries, in particular Nigeria due to socio cultural reasons (5). Thus, the clinical indication for the procedure should be justifiable.…”

Section: Introductionmentioning

confidence: 99%

Clinico-pathological Assessment of Hysterectomies in Zaria

Adesiyun

Agunbiade

et al. 2009

ELECTRON J GEN MED

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Aim: To assess and compare accuracy of the clinical indications and histopathological diagnoses from hysterectomy specimens in Zaria. Methods The clinical indications comprised non-neoplastic-47 (14.8%) and neoplastic-226 (71.3%) causes. The commonest benign neoplastic indication was uterine fibroid 196 (61.8%). Malignant neoplastic indication included cervical cancer 12 (3.8%) and endometrial cancer 6 (1.9%). Cervical intraepithelial neoplasia (CIN), a preneoplastic lesion accounted for 44 (13.9%). Histopathological diagnosis of leiomyoma was made in 218 (68.8%), cervical cancer -20 (6.3%) and . Incidental pathologies seen included chronic patients were at variance with histological diagnosis. Conclusion:The clinical indication for hysterectomy and histopathological outcome are comparable in over 90% of cases. The commonest indication and histological finding in our setting is leiomyoma.

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“…Several studies have documented an increased incidence of uterine leiomyoma in black women and women of African descent. In a study it was found that 9.3% of all gynaecological cases were the uterine leiomyoma 7 . The finding is similar to 9.8% reported from Lokoja Nigeria, but higher than 7.8% and 8.4% reported from two Nigerian cities of Zaria and Ilesa respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally two main operation are availablemyomectomy and hystrectomy. Hystrectomy are usually performed in two to three ways like total abdominal hysterectomy, laporoscopic assisted vaginal hysterectomy and non descendent vaginal hysterectomy(NDVH) 7,8 . In this short period of study attempts are made to highlight clinical presentation and operative treatment provided to the admitted patients.…”

Section: Volume 13 Issue 2 May 2014mentioning

confidence: 99%

Clinical Presentation & Operative Treatment of Leiomyoma of Uterus and its Outcome

Das

Jafrin

Biswas

et al. 2014

Chatt Maa Shi Hosp Med Coll J

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Introduction: Uterine leiomyoma is remarkably common, however only a subset of women have their fibroids clinically detected, symptomatic, or warrant surgical treatment. Mode of treatment depends on age of the patients, number, size and site of the myoma and also fertility status of the patients. Materials & methods: To evaluate the sociodemographic, clinical characteristics, management outcome and its determinants in BSMMU, Dhaka, Bangladesh, the study was carried out. 50 patients of diagnosed leiomyoma admitted in the BSMMU, Dhaka was selected for the study. Clinical profile, type of surgery and postoperative follow up findings were noted. Data was analyzed by computer based software SPSS -18. Results: The common complaints among the 50 patients were progressive menorrhagia (70%), abdominal swelling (50%), infertility (24%), weight in pelvis (38%), weakness/dizziness or syncopal attack after menstrual period (26%) and recurrent miscarriages (12%). The average uterine size at presentation was 15±9.7 weeks. The majority (70%) of the women presented with multiple leiomyomata. The commonest anatomical position of the myomas were multiple positions and intramural(80%). Total abdominal hysterectomy with or without bilateral sulphingo ophorectomy according to age was the commonest surgical procedure performed in thirty two (64%) cases. Myomectomy was done in 12(24%) cases and laparoscopic assisted vaginal hysterectomy was done in also 6(12%) of patients. Postoperative complications occurred in 24%(12) of the women. The most common complications were postoperative pyrexia 12%, blood loss warranting transfusion 8%, wound infection 10% and prolonged hospital stay 6%. Conclusion: Uterine fibroid is common in our environment and most of the patients had regular menstrual cycle with progressive menorragia. Its removal is commonly associated with post-operative pyrexia, blood loss, and anemia and wound infection. Preoperative correction of anemia appropriate use of antibiotics and strict hemostasis and asepsis can reduce these complications.

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Hysterectomy in the Hausa/Fulani population in Nigeria

Cited by 10 publications

References 5 publications

Etiology and pathogenesis of uterine leiomyomas: a review.

Etiology and pathogenesis of uterine leiomyomas: a review.

Clinico-pathological Assessment of Hysterectomies in Zaria

Clinical Presentation & Operative Treatment of Leiomyoma of Uterus and its Outcome

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