Surgical findings at laparatomy for uterine fibroid in University of Ilorin Teaching Hospital

Balogun, OR; Nwachukwu, Cnd

doi:10.4314/tjhc.v13i2.36695

Cited by 7 publications

(19 citation statements)

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“…The high association of uterine fibroids with pelvic adhesions has been attributed to the high prevalence of pelvic inflammatory disease (PID), previous caesarean section, and laparotomy in developing countries [26, 33], which may cause tubal disease and contribute to the significant association with infertility [1, 2]. Early girl marriage and childbearing in our community before the age when uterine fibroids are common may explain why menorrhagia was the commonest clinical presentation and infertility the least in this study, while infertility (mainly primary) was the commonest clinical presentation in the study from Ilorin [27] and Abakaliki [32] in Nigeria, where women delay marriage and childbearing.…”

Section: Discussionmentioning

confidence: 94%

Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital

Omole-Ohonsi

Belga²

2012

Obstetrics and Gynecology International

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Objective. To determine the influence of age and parity on the surgical management of uterine fibroids, clinical presentation, presence of pelvic adhesions, cadre of surgeons, and postoperative complications at the Aminu Kano Teaching Hospital, Kano, Nigeria. Methods. A retrospective analysis of 105 cases of uterine fibroids that were managed between 1st January 2003 and 31st December 2007. Results. The period prevalence of uterine fibroids was 24.7% of all major gynecological operations. The mean age was 35.8 ± 7.6 and mean parity 4.7 ± 2.8. Abdominal hysterectomy accounted for 58.1% of the cases and myomectomy 41.9%. The odd of using abdominal hysterectomy was about twice that of myomectomy. Pelvic adhesions were found in 67.6% of the cases. Menorrhagia (86.7%) was the commonest symptom, while post operative anemia and pyrexia showed significant association with myomectomy. There was no maternal mortality. Conclusion. Surgical operations for uterine fibroids are safe and common kind of gynecological operations at the Aminu Kano Teaching Hospital. Uterine fibroid is associated more with high parity and dominance of abdominal hysterectomy over myomectomy, because early girl marriage is common in our community.

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Section: Discussionmentioning

confidence: 94%

Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital

Omole-Ohonsi

Belga²

2012

Obstetrics and Gynecology International

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“…Uterine leiomyoma is the most common benign genital tract tumor in women of reproductive age (1) and the most frequent reason for gynecologic consultation in most Nigerian hospitals (2,3). It is more common among black women (4) with an incidence of 3.0% to 29.3% (2,5).…”

Section: Introductionmentioning

confidence: 99%

Comparing perioperative vaginal misoprostol with intraoperative pericervical hemostatic tourniquet in reducing blood loss during abdominal myomectomy: A randomized controlled trial

Afolabi¹,

Ezeoke²,

Saidu³

et al. 2019

J Turkish German Gynecol Assoc

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Objective: To compare the effectiveness of perioperative vaginal misoprostol with intraoperative pericervical hemostatic tourniquet in reducing blood loss during abdominal myomectomy. Material and Methods: A randomized controlled trial involving women with uterine leiomyoma who underwent abdominal myomectomy was conducted at a tertiary facility in Nigeria. Participants were recruited after they gave informed consent and randomized into group I (single dose 400 μg vaginal misoprostol one-hour before surgery) and group II (intraoperative pericervical hemostatic tourniquet). Eighty participants (40 in each group) were recruited. Uterine size was measured in centimeters above the pubic symphysis, and blood loss estimation involved direct volume measurement and gravimetric methods. The main outcome measures were intraoperative blood loss, blood transfusion, and recourse to hysterectomy. Ethical approval and trial registration were obtained; the data were analyzed using the SPSS software version 21.0; p<0.05 was considered significant. Results: Participants in group I had higher mean intraoperative blood loss (931.89±602.13 vs 848.40±588.85 mL, p=0.532), intra-operative blood transfusion rates (60 vs 55%; p=0.651) and mean units of blood transfused (1.30±1.20 vs 1.20±1.30; p=0.722) compared with group II. The mean uterine size (19.50±6.93 vs 20.05±6.98 cm; p=0.725) and number of fibroid nodules (11.25±7.99 vs 11.45±8.22; p=0.912) were comparable. The change in post-operative hematocrit was 2.66±2.21% vs 3.24±2.85% (p=0.315) and post-operation blood transfusion was 2.5 vs 5% (p=0.556). There was no recourse to hysterectomy in either of the study groups. While adverse effects of misoprostol occurred in 5 (12.5%) participants of group I. Conclusion: The effectiveness of perioperative vaginal misoprostol is comparable to intra-operative hemostatic pericervical tourniquet in reducing blood loss during abdominal myomectomy.

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“…Uterine leiomyoma is the commonest benign genital tract tumor in women of reproductive age (1) and the commonest reason for gynecological consultation in most Nigerian hospitals (2,3). It is commoner among Black women (4) with an incidence of 3.0% to 29.3% (2,5).…”

Section: Introductionmentioning

confidence: 99%

“…It may be asymptomatic with incidental discovery during pelvic examination or ultrasonography for other indications. Symptomatic uterine fibroid can adversely affect the quality of life, especially in low resource countries where patients often present late with huge masses and anemia (2,3,5). The definitive treatment for symptomatic leiomyoma is hysterectomy; however, for women desirous of future fertility or preservation of the uterus, myomectomy is a common option (6).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, effective interventions to reduce blood loss remain desirable during myomectomy (10). Methods of reducing hemorrhage during myomectomy include peri-operative vaginal misoprostol, intra-operativemyometrial vasopressin, intra-myometrial bupivacaine with epinephrine, intravenous tranexamic acid, gelatinthrombin matrix, intravenous ascorbic acid, vaginal dinoprostone, loop ligation of the leiomyoma pseudo-capsule, fibrin sealant patch and per cervical tourniquet using Foley catheter (3). However, each method has its limitations; therefore, controlling hemorrhage remains a major task for gynecologists (11).…”

Section: Introductionmentioning

confidence: 99%

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