Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital
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...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2012/702325 |
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| _version_ | 1832548647641808896 |
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| author | Abiodun Omole-Ohonsi Francis Belga |
| author_facet | Abiodun Omole-Ohonsi Francis Belga |
| author_sort | Abiodun Omole-Ohonsi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-f176bff4300d448fb56ed47818bde5e5 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-f176bff4300d448fb56ed47818bde5e52025-02-03T06:13:32ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/702325702325Surgical Management of Uterine Fibroids at Aminu Kano Teaching HospitalAbiodun Omole-Ohonsi0Francis Belga1Department of Obstetrics and Gynaecology, Bayero University, Kano and Aminu Kano Teaching Hospital, PMB 3452, Kano 700282, NigeriaDepartment of Obstetrics and Gynecology, Murtala Mohammed Specialist Hospital, Kano, NigeriaObjective. 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.http://dx.doi.org/10.1155/2012/702325 |
| spellingShingle | Abiodun Omole-Ohonsi Francis Belga Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital Obstetrics and Gynecology International |
| title | Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital |
| title_full | Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital |
| title_fullStr | Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital |
| title_full_unstemmed | Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital |
| title_short | Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital |
| title_sort | surgical management of uterine fibroids at aminu kano teaching hospital |
| url | http://dx.doi.org/10.1155/2012/702325 |
| work_keys_str_mv | AT abiodunomoleohonsi surgicalmanagementofuterinefibroidsataminukanoteachinghospital AT francisbelga surgicalmanagementofuterinefibroidsataminukanoteachinghospital |