Fibroids affect 20% to 25% of reproductive-age women, and black women are three to nine times more likely than white women to acquire them. We're talking about enormous fibroids when the uterine height approaches or exceeds the navel. This study began at the Hôpital du Mali with the goal of reporting on the epidemiological, clinical, and therapeutic features of large fibroids. Any patients, regardless of age, were included in a descriptive retro-prospective study done in the service of gynecology at the Hôpital du Mali from November 2017 to December 2018. On physical examination, the patient's uterine height reached or exceeded the umbilicus, indicating that she had developed a fibroid and was undergoing surgical treatment. Out of the 92 patients who had myomectomies, we found 30 cases of GFs, with a frequency of 32.60 percent. With an average age of 35, the age group 25 - 29 years represented for 46.6 percent of the population. Housewives constituted up 50% of our group, while nulligravida made up 33%. a group of patients In 34.4 percent of cases, the desire to become pregnant was the primary reason for seeking help. Physical examination revealed that the uterine height was between 25 and 29 cm 46.66 percent of the time. Myomectomy was performed in 76.64 percent of cases, while hysterectomy was performed in 23.3 percent. In 48.66 percent of our patients, the nuclei were larger than 25 cm after surgery. Conclusion: Myomectomy is frequently caused by a giant fibroid (GF). Depending on the indications, a hysterectomy or a myomectomy is performed. Excessive volume of fibroids, postmenopausal women, and multiple gravida should all be treated with hysterectomy.
Author (s) Details
Mamadou B. Coulibaly
Service of Gynecology of the Hôpital du Mali, Bamako, Mali.
Alassane Traore
Service of Gynecology of the Hôpital du Mali, Bamako, Mali.
Mody A. Camara
Service of Medical Imaging of the Hôpital du Mali, Bamako, Mali.
Abdrahamane Togo
Service of Gynecology of the Hôpital du Mali, Bamako, Mali.
Adama Sangaré
Service of Gynecology of the Hôpital du Mali, Bamako, Mali.
Issa Ongoiba
Service of Gynecology of the Hôpital du Mali, Bamako, Mali.
Kalba Timbine
Service of Anesthesia and Resuscitation of the Hôpital du Mali, Bamako, Mali.
Amadou
Sidibé
Apérou Guindo
Service of Gynecology of the Hôpital du Mali, Bamako, Mali.
Niani Mounkoro
Service of Gynecology-Obstetrics of Gabriel TOURE Teaching Hospital, Bamako, Mali.
Ibrahim Teguete
Service of Gynecology-Obstetrics of Gabriel TOURE Teaching Hospital, Bamako, Mali.
Youssouf Traore
Service of Gynecology-Obstetrics of Gabriel TOURE Teaching Hospital, Bamako, Mali.
Moustaphe Toure
Service of Gynecology of the Hôpital du Mali, Bamako, Mali.
View Book :- https://stm.bookpi.org/HMMR-V9/article/view/1031
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