Place des myomectomies en situation de conception spontanée ou chez la femme désireuse de préserver sa fertilité

Legendre, Guillaume; Brun, Jean‐Luc; Fernandez, H.

doi:10.1016/j.jgyn.2011.09.023

Cited by 21 publications

(4 citation statements)

References 92 publications

(126 reference statements)

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“…The impact of myomas on fertility can be evaluated by comparing women with myoma to women free from any fibromatous pathology consulting for a desire for pregnancy, or by comparing the results of myomectomy and abstention in patients with a desire for pregnancy. A single prospective study comparing a population of 106 infertile women with myomas to a population of 106 infertile women without myoma found a significantly decreased design rate in the presence of myomas (11% versus 25%, p = 0.02) [12]. The size, number and location of myomas have not been specified in this study but it allows demonstrating the responsibility of myomas on fertility in case of spontaneous procreation (NP4).…”

Section: Pregnancy After Myomectomymentioning

confidence: 80%

Desire of Pregnancy and Fertility after Myomectomy: about 76 Patients Operated at Ouakam Military Hospital (Dakar, Senegal) between 2009 and 2013

Niang¹

2018

JGWH

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Patients and methods: This was a retrospective, descriptive and analytical patients who underwent myomectomy to Ouakam Military Hospital between 2009 and 2013 and who were subsequently tried to achieve pregnancy. The primary outcome was obtaining a pregnancy after myomectomy.Results: Three hundred and forty five patients underwent myomectomy by laparotomy between 2009 and 2013. Patients were a mean age of 37.2 years with an average parity 1. The mean duration of follow-up after myomectomy was 26 months. One hundred -twenty patients (34.8%) were contacted again. Seventy -six (63.3%) have attempted to obtain a pregnancy. Dix -nine patients (25%) achieved a pregnancy. Pregnancies were achieved spontaneously. Most patients (89.5%) were delivered at term. Two patients (10.5%) had a miscarriage. Fertility after myomectomy is significantly correlated with patient age (p=0.042), its parity (p = 0.004) and fertility before myomectomy (p = 0.012). Conclusion:Advanced age (≥39 years), nulliparity and infertility before myomectomy are factors of poor prognosis for obtaining a pregnancy after myomectomy by laparotomy.

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Section: Pregnancy After Myomectomymentioning

confidence: 80%

Desire of Pregnancy and Fertility after Myomectomy: about 76 Patients Operated at Ouakam Military Hospital (Dakar, Senegal) between 2009 and 2013

Niang¹

2018

JGWH

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“…Operative complications were dominated by hemorrhages in 20% of cases. Bleeding remains one of the early complications of myomectomies as described by Legendre G. [12] et al, and Foulot H. et al [13]. All of our patients had received preventive anticoagulant therapy 8 hours after surgery.…”

Section: Discussionmentioning

confidence: 60%

Clinical and Therapeutic Aspects of Giant Fibroids at the Hôpital du Mali about 30 Cases

Coulibaly¹,

Traoré²,

Camara³

et al. 2020

OJOG

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The fibroids affect 20% to 25% of women of reproductive age and are 3 to 9 times more common in black women. We'll talk about giant fibroids (GFs) when uterine height reaches or exceeds the navel. We have initiated this study in order to report the epidemioclinical and therapeutic aspects of giant fibroids at the Hôpital du Mali. A descriptive retro-prospective study, conducted in the service of gynecology of the Hôpital du Mali from November 2017 to December 2018 were included in this study, any patients, regardless of their age, having developed a fibroid, the uterine height of the patient reaching or exceeding the umbilicus on physical examination and who were on surgical treatment. We had collected 30 cases of GFs out of the 92 patients who had undergone myomectomies, with a frequency of 32.60%. The age group 25 -29 years accounted for 46.6% with an average age of 35 years. Housewives represented 50% and nulligravida made up 33% of our patients. Desire to become pregnant was the main reason for consultation in 34.4% of cases. The uterine height was between 25 and 29 cm on physical examination in 46.66% of cases. Myomectomy was performed in 76.64% and hysterectomy in 23.3% of cases. The size of the nuclei after surgery was over 25 cm in 48.66% of our patients. Conclusion: The giant fibroid (GF) is a common cause of myomectomy. The treatment is either hysterectomy or myomectomy and depends on the indications.

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“…A single prospective study comparing a population of 106 infertile women with myomas to a population of 106 infertile women without myoma found a significantly decreased conception rate in the presence of myomas (11% versus 25%, p = 0.02). The size, number and location of myomas have not been specified in this study, but it does demonstrate the responsibility of myomas for fertility in case of spontaneous procreation [17]. Elsewhere pregnancy rates of 50 to more than 60% have been reported after myomectomy in patients with unexplained labeled infertility.…”

Section: Fertilité After Myomectomymentioning

confidence: 69%

Clinical, Surgical and Prognostic Aspects of Uterine Myomatosis at Pikine National Hospital in Dakar

Diallo¹

2018

JGWH

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Patients and MethodsThis was a retrospective, descriptive, and analytical study that included all patients who had undergone surgery for the treatment of uterine myomatosis at Pikine National Hospital Center over a five-year period from January 2010 to December 2014. We did not select cases of uterine myomatosis associated with pregnancy. All patients included were consenting. The data was analyzed by the Sphinx software version five. The graphs were done by the Excel 2016 version software. The correlation examination and the significant risks that existed between the variables during the analysis were performed using adequacy and comparison tests. The Chi-square test was used for comparisons. The tests were significant as soon as the associated probability was less than 5%. We used the null hypothesis if α was less than 0.05. If the null hypothesis was rejected, we proceeded to the analysis of the relation. Otherwise, the relationship was simply removed from the study [1].

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Place des myomectomies en situation de conception spontanée ou chez la femme désireuse de préserver sa fertilité

Cited by 21 publications

References 92 publications

Desire of Pregnancy and Fertility after Myomectomy: about 76 Patients Operated at Ouakam Military Hospital (Dakar, Senegal) between 2009 and 2013

Desire of Pregnancy and Fertility after Myomectomy: about 76 Patients Operated at Ouakam Military Hospital (Dakar, Senegal) between 2009 and 2013

Clinical and Therapeutic Aspects of Giant Fibroids at the Hôpital du Mali about 30 Cases

Clinical, Surgical and Prognostic Aspects of Uterine Myomatosis at Pikine National Hospital in Dakar

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Place des myomectomies en situation de conception spontanée ou chez la femme désireuse de préserver sa fertilité

Cited by 21 publications

References 92 publications

Desire of Pregnancy and Fertility after Myomectomy: about 76 Patients Operated at Ouakam Military Hospital (Dakar, Senegal) between 2009 and 2013

Desire of Pregnancy and Fertility after Myomectomy: about 76 Patients Operated at Ouakam Military Hospital (Dakar, Senegal) between 2009 and 2013

Clinical and Therapeutic Aspects of Giant Fibroids at the H&#244;pital du Mali about 30 Cases

Clinical, Surgical and Prognostic Aspects of Uterine Myomatosis at Pikine National Hospital in Dakar

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Product

Resources

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Clinical and Therapeutic Aspects of Giant Fibroids at the Hôpital du Mali about 30 Cases