Myomectomy Revisited: Experiences in a Teaching Hospital

Abstract

Introduction: Uterine myomas are the most common benign tumors of the female reproductive tract with myomectomy being one of the major modalities of the treatment in our set up. The aim of this study was to share the experiences of open myomectomy from a Teaching Hospital.Methods: A observational study was conducted from a records of myomectomy cases in the department of Obstetrics and Gynaecology at Nobel Medical College teaching Hospital from June 2014- May 2016.Results: Total 38 cases of myomectomy were performed during the study period in the women most commong age group being 35-39 years, followed by 30-34. The most common presenting symptoms was abnormal uterine bleeding in 15 (39.47%) followed by mass per abdomen in 10 (26.31%). The most common location of the myoma was intramural followed by subserosal, submucus. Degeneration was also noted in majority of the cases. All the myomectomies were done with Inj Vasopressin injected paracervically except in one case where tourniquet was used. None of the patients had significant post-operative morbidity except fever in the first 24 hours.Conclusions: Abdominal myomectomy is a safe and effective procedure for uterine myomas for infertile women in the past but it should be offered to those desiring for uterine preservation irrespective of age and reproductive status. Keywords: abnormal uterine bleeding; degeneration; myomectomy. | PubMed

The Future of International Investment Regulation: Towards a World Investment Organisation?

“…As noted above, the EU's ultimate aim in terms of investment dispute settlement is a permanent investment court. The suggestion to create such a court is not new; Van Harten, 107 Goldhaber 108 and Subedi 109 actually proposed this idea a number of years ago. 110 However, it is submitted that the proposed court cannot come to fruition without undertaking other reforms first, namely the creation of a multilateral treaty framework 111 and the establishment of the WIO.…”