Document Detail


Myomectomy at the Federal Medical Centre Gombe.
MedLine Citation:
PMID:  19485158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The need to conserve the uterus, against all odds even when child bearing is complete makes conservative management of uterine fibroids quite appealing in our environment. Our objective is to document the prevalence, demographic characteristics and the outcome of patients who had myomectomy METHODOLOGY: All cases of myomectomy performed at the Federal Medical Centre Gombe between 1st January 2002 and 31st December 2004 were retrospectively reviewed. Only cases of histologically confirmed fibromyomata were included in the study. Fourty three (43) out of the 45 retrieved cases met the criteria for inclusion in the study. The age, parity Marital status, clinical presentation, and outcome were analysed using the EPI-INFO Version 6.0 statistical package. RESULTS: There were 51 cases of myomectomy out of 581 major gynaecological surgeries giving an incidence of myomectomy of 8.8% for the period under study. The majority of the patients, 30 (69.8%) were aged between 30 and 39 years and 40 (93.0%) were of low parity. The commonest indication for myomectomy was infertility 18, (41.9%), followed by menorrhagia 12, (27.9%). The uterine size at presentation was greater than twelve weeks gestation size in 33, (76.7%) of the cases. Wound infection 6, (14%) was the commonest morbidity followed bypyrexia 3, (7%). About 10(23.3%) were single while 33 (76.7%) were married. Forty (93%) of the fibroids were located in the body of the uterus while 3 (7%) were cervical in location. Most 28 (65.1%) of the skin incisions were Pfannenstiel while 15 (34.9%) had midline subumbilical skin incision. Only 7 (16.3%) of the patients had blood transfusion. Of the 18 patients who complained of infertility, 6 (33%) had conceived. CONCLUSION: Two thirds of the patients in this study presented with uterine masses greater than twelve week size, suggesting some delay in presentation. Liberal pelvic examination for women at risk of uterine fibroids may lead to early detection with consequent reduction in morbidity.
Authors:
M Bukar; B M Audu; G S Melah
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria     Volume:  18     ISSN:  1115-2613     ISO Abbreviation:  Niger J Med     Publication Date:    2009 Jan-Mar
Date Detail:
Created Date:  2009-06-02     Completed Date:  2009-06-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888321     Medline TA:  Niger J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  94-7     Citation Subset:  IM    
Affiliation:
University of Maiduguri Teaching Hospital. mbbukar07@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Female
Gynecologic Surgical Procedures / adverse effects,  methods*
Humans
Infertility, Female / etiology
Leiomyoma / epidemiology,  surgery*
Length of Stay
Middle Aged
Myometrium / surgery
Nigeria / epidemiology
Prevalence
Retrospective Studies
Treatment Outcome
Uterine Neoplasms / epidemiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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