Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Awoyesuku, P. A.; MacPepple, D. A.; Altraide, B. O.; John, D. H.

doi:10.9734/jammr/2020/v32i230361

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Globally, the prevalence of uterine fibroids range between 4.5% and 9.8% in developed countries. In Nigeria, it is 21.4% in Kano, 13.3% in Ilorin, and 33.3% in Port Harcourt [3] [4] [5] [6].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Uterine Artery Occlusion with Tourniquet on Ovarian Reserve during Open Myomectomy at a University Teaching Hospital in Southern Nigeria

Mube,

Alegbeleye,

Orazulike

2024

ARSci

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Background: The most common surgical treatment for symptomatic uterine fibroids, particularly in women with fertility concerns, is open myomectomy. Given the high vascularity of the uterus, haemorrhage during the procedure is a serious risk that is often mitigated with a uterine tourniquet. Aim and Objectives: To evaluate the effect of uterine artery occlusion with a tourniquet during open myomectomy on ovarian reserve using serial anti-Mullerian hormone (AMH) measurements. Materials and Methods: This was a prospective longitudinal study with a quasi-experimental design and a convenient sampling technique. The study enrolled 47 women who had abdominal myomectomy between September 1, 2021, and March 31, 2022, at the University of Port Harcourt Teaching Hospital. Blood samples were collected before anaesthesia was administered in theatre, on day two, and three months after open abdominal myomectomy for anti-Mullerian hormone assay. The data was collected using a semi-structured proforma, entered into an Excel spreadsheet, and analyzed using SPSS version 25.0 with a 95% confidence interval. Statistical significance level was set at 0.05. Results: The pre-surgery AMH mean value was 1.67 ± 1.44 ng/ml, while the values after using a uterine tourniquet at myomectomy on the second day and three months later were 1.22 ± 1.24 ng/ml and 1.59 ± 1.43 ng/ml, respectively. There was no statistically significant change in AMH levels, and there was no statistically significant relationship between blood loss and tourniquet time and AMH after open abdominal myomectomy. Conclusion: The use of a uterine tourniquet and blood loss during open myomectomy has no effect on ovarian reserve.

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Section: Introductionmentioning

confidence: 99%

The Effect of Uterine Artery Occlusion with Tourniquet on Ovarian Reserve during Open Myomectomy at a University Teaching Hospital in Southern Nigeria

Mube,

Alegbeleye,

Orazulike

2024

ARSci

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An Audit of Gynecological Surgeries Performed at the University College Hospital, Ibadan, Southwest Nigeria

Salufu,

Adewumi,

Olayemi

2024

Int J Med Health Dev

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Background: Audit in a clinical setting is the collection of data for the purpose of setting professional standards, assessing clinical performances and modifying the clinical practice which is not routinely done in developing countries, including Nigeria. Audit of gynecologic surgeries in University College Hospital (UCH), Ibadan, was necessary to provide opportunities for improvement. Objectives: To determine the total number of gynecologic surgeries performed at UCH, the commonest surgeries performed at the hospital; and the cadres of surgeons who performed the surgeries especially the lead surgeons. Materials and Methods: This was a descriptive retrospective study of gynecologic surgeries carried out at the obstetrics and gynecology department of UCH, Ibadan, over a 5-year period. Data collected from theater records were entered into SPSS 24.0 software, cleaned and analysis performed. Results: There were 3790 gynecologic surgeries during the review period, in which outpatient gynecologic surgeries (surgical day or minor cases) accounted for the majority 53% (n = 2007), while major gynecological surgeries accounted for 47% (n = 1783). Cervical biopsy was the commonest surgical day (minor) procedure (541/2007, 27%), while abdominal myomectomy (517/1783, 29%) was the most performed major gynecologic surgery. Resident doctors performed most of the minor procedures, 73.7% (1476/2003), while the consultants led majority of the major procedures, 73.2% (1399/1910). Conclusion: A high number of gynecological surgeries were performed at UCH, Ibadan, under the period of review. Cervical biopsy and abdominal myomectomy were the commonest performed minor and major cases, respectively. Most minor cases were performed by Resident doctors while consultants performed most of the major cases. The high number of surgical cases performed could be an indication of the effectiveness of the healthcare delivery and training in the hospital.

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Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Cited by 2 publications

References 18 publications

The Effect of Uterine Artery Occlusion with Tourniquet on Ovarian Reserve during Open Myomectomy at a University Teaching Hospital in Southern Nigeria

The Effect of Uterine Artery Occlusion with Tourniquet on Ovarian Reserve during Open Myomectomy at a University Teaching Hospital in Southern Nigeria

An Audit of Gynecological Surgeries Performed at the University College Hospital, Ibadan, Southwest Nigeria

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