A 5-Year Review of Abdominal Myomectomy and Its Outcome in Rivers State University Teaching Hospital, Port Harcourt, Nigeria | Chapter 9 | Perspective of Recent Advances in Medical Research Vol. 12

 Background: Uterine Fibroids, as known or named at another time or place Leiomyoma, are the commonest mild tumors Of the uterus. Treatment of uterine fibroids could be conservative administration, Medical treatment, surgical treatment and radiological situation.The surgical treatment maybe Hysterectomy, Myomectomy (abdominal, vaginal, laparoscopical) This item is aimed at emphasize the commonest surgical treatment of uterine stringy in Rivers State University Teaching Hospital. (RSUTH) and certain effects or sequelae associated with these surgeries.It is a prevailing surgical option for daughters who wish to preserve their uterus and those believing to have more children.Methods: This was a backward-looking cross-sectional study of all intestinal myomectomies done in this RSUTH middle from two points January 2017 to December 2021. The data collected were analysed utilizing SPSS version 20 subsequently a review of the theatre register, induced sleep charts, patient case notes, and the gynaecological district records.Results: A total of 540 women had surgery for uterine fibroids. Of accepted complications were turmoil, massive intraoperative haemorrhage (>1.5L), stomach obstruction (quadriplegic ileus), iatrogenic bowel injury and anaesthetic difficulties. No death was written.Conclusion: One of the most standard treatments for indicative uterine fibroids is abdominal myomectomy. Despite the possibility of main perioperative difficulties, the results are usually positive. Therefore, the correct safety measures bear be implemented to reduce these issues.

Author(s) Details:

Iwo-Amah Rose Sitonma,
Rivers State University Teaching Hospital, Nigeria.

Altraide Basil Omiebi,
Rivers State University Teaching Hospital, Nigeria.

Kwosah Joseph Ngozi,
Rivers State University Teaching Hospital, Nigeria.

Amadi Chijioke Simeon,
Rivers State University Teaching Hospital, Nigeria.

John H. Dickson,
Rivers State University Teaching Hospital, Nigeria.

Jumbo Awopola,
Rivers State University Teaching Hospital, Nigeria.

Please see the link here: https://stm.bookpi.org/PRAMR-V12/article/view/9673a

A Ten-year Review of Reproductive Outcome Following Abdominal Myomectomy at the University of Port Harcourt Teaching Hospital | Chapter 16 | Research Trends and Challenges in Medical Science Vol. 10

 Fertility preservation is an essential consideration following an abdominal myomectomy, particularly for patients who are infertile. According to studies, 57 percent of women who have had a myomectomy are able to conceive. The connection between uterine fibroids and infertility is still a mystery.

The aim of this study was to see how women fared after having an abdominal myomectomy.

Methodologies: Between January 1, 2003, and December 31, 2012, all cases of uterine fibroid admitted to the gynaecological ward of the University of Port Harcourt Teaching Hospital were studied retrospectively. SPSS version 20 was used to code and analyse the data.

Results: Uterine fibroid was responsible for 523 (12.2%) of the 4287 gynaecological admissions during the study era. The median age was 33 years and 2 months. Nulliparous women had the highest rate of pregnancy at 43.4 percent. Infertile women in the sample population had a pregnancy rate of 24.4 percent after abdominal myomectomy. Within two years of their abdominal myomectomy, twenty women became pregnant. This accounted for 32.78 percent of the 61 infertile patients who had no other reason for their infertility. Four patients (20%) had unintended abortions, seven (35%) had spontaneous vaginal deliveries, and nine (45%) had elective abortions. Four patients (20%) had spontaneous abortions, seven (35%) had spontaneous vaginal deliveries, and nine (45%) had elective caesarean deliveries.

Infertility is one of the most common reasons why women choose myomectomy. This research, on the other hand, shows that the association between abdominal myomectomy and pregnancy outcome is rational.

Author (s) Details

S. Eli
Mother and Baby Care Global Foundation, Nigeria and Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

D. S. Abam
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

D. G. B. Kalio
Department of Obstetrics and Gynaecology, Braithwaite Memorial Specialist Hospital, Nigeria

D. K. O. Pepple
Department of Obstetrics and Gynaecology, Braithwaite Memorial Specialist Hospital, Nigeria

 Nwosu
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

K. Green
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

J. Ikimalo
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

View Book :- https://stm.bookpi.org/RTCMS-V10/article/view/719