Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital

Omole-Ohonsi, A; Belga, Francis

doi:10.1155/2012/702325

Cited by 13 publications

(19 citation statements)

References 28 publications

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“…The ratio of myomectomy to hysterectomy of about 3:1 has also been reported in the study by Garba et al [27]. Values of 41% for myomectomy [28] and 10.6% for hysterectomy [31] have also been reported. Salpingectomy was the second commonest major surgery performed at 26.4% and this is similar to the findings of 26% by Yakasai et al [29].…”

Section: Discussionsupporting

confidence: 65%

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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

Awoyesuku

MacPepple

Altraide

et al. 2020

JAMMR

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Background: Gynaecological disorders are a particularly common cause of morbidity and mortality among women of reproductive age and a common cause of hospital presentation/admission and surgery. Objective: This study sought to review gynaecological diagnoses and surgeries performed in a tertiary health facility from 2012 to 2017 and its implication for healthcare planning and budgeting. Methodology: This was a retrospective review of all gynaecological diagnoses and surgeries seen in the Rivers State University Teaching Hospital (RSUTH) from 2012 to 2017. Data were retrieved using a proforma comprising of year, gynaecological diagnosis and gynaecological surgeries. Data obtained was entered into Microsoft Excel for descriptive analysis. Results: The proportion of clinic attendees declined from an average of 23% in the first three years (2012)(2013)(2014) to about 10% in the last three years (2015)(2016)(2017). The most common Awoyesuku et al.; JAMMR, 32(2): 1-10, 2020; Article no.JAMMR.54616 2 gynaecological diagnosis were uterine fibroid (33.3%), infertility 28.1% (primary 5.7%, secondary 22.4%), PID (5.9%), ovarian tumour (4.2%), secondary amenorrhea (3.4%) and pelvic malignancies (3.4%). The commonest major surgeries were myomectomy 441(33.7%), salpingectomy 345(26.4%), hysterectomy 168(12.8%) and cervical cerclage 122(9.3%). The commonest minor surgeries were manual vacuum aspiration 314(41.0%), examination under anaesthesia and biopsy 110(14.3%) and adhesiolysis for synechiae 97(12.6%). The duo of uterine fibroid and infertility made up 50%-70% of all gynaecological diagnoses. Conclusion: This study showed that there has been a steady decline in gynaecological consultations over the years. However, the duo of uterine fibroid and infertility made up half to three-quarter of all gynaecological diagnoses over the 6 years. Infertility and uterine fibroids have a long cause and effect association. Healthcare policies and budgeting should be increased towards tackling these conditions, especially the setting up of a fertility center to provide assisted reproductive technologies and laparoscopy to improve practice and patient outcome. Review Article

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Section: Discussionsupporting

confidence: 65%

“…These contributed 21.4% of all gynaecological operations. Common gynaecological surgeries reported in Nigerian literatures, as percentage of total procedures, include myomectomy (41.9%), salpingectomy (26.0%), manual vacuum aspiration (MVA) (21.5%), hysterectomy (10.6%) and laparoscopy (2.8%) [28][29][30][31][32].…”

Section: Introductionmentioning

confidence: 99%

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

MacPepple

Altraide

et al. 2020

JAMMR

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“…Improvements in haemostatic methods and anaesthesia also play an important part in the safety and reduction in mortality and morbidity. Abdominal myomectomies are still predominantly done in the developing world with zero mortalities as was also recorded in this case 19,20,21 . This can also be due to proper case selection without conversion to hysterectomy .…”

Section: Discussionsupporting

confidence: 58%

Is Double Consent For Abdominal Myomectomy Still Necessary?

E¹,

O²,

Andu³

et al. 2017

IOSR JDMS

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“…17,18,23 The mean age at presentation for uterine myoma reported from various centres across this country is 35-40±6 years and least common by age 20-24. [24][25][26] Nnewi study reported that 76% and 30.1% of the women who presented with uterine myoma were nulliparous and infertile, respectively. 26 In this study, age showed a statistically significant association with comorbidity in infertility as noted between patients ≤34 years and those >35 years (p<0.05).…”

Section: Discussionmentioning

confidence: 99%

Comorbidities among infertile women at NKST hospital Mkar-Gboko, North-Central Nigeria

Karshima

Pam

Anyaka

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility, a common, non-fatal ailment, is sometimes associated with substantial comorbidity that can add adverse outcomes during treatment or pregnancy and increase costs of care. This study aims to assess the magnitude and pattern of comorbidities in infertile Nigerian women.Method: This descriptive retrospective study was undertaken at NKST Hospital Mkar-Gboko, Nigeria, from 1st January 2005 to 31st July 2013. Clinic records of patients who attended the gynaecological outreach clinic were retrieved and analyzed using descriptive statistics and test of associations with Microsoft Excel 2013. Jos University Teaching Hospital gave ethical clearance.Results: 1,926 women seen during the study period, 1030 (53.5%) presented for infertility care. 941 (91.4%) women had complete records, among them, 476 (50.5%) met the inclusion criteria, and their records were analyzed. The mean age of the women was 32.6±6.0 years with a range of 20 to 53 years, see Table1. There were 52 comorbid conditions among the 476 women. The comorbidities included uterine myoma, previous appendectomy/pelvic surgeries, genital tract infections/retroviral disease, hypertension, obesity and diabetes, among others, see Table 4. Table 2 and 3 shows there is a significant statistical association between comorbidity type, age, parity, duration of infertility and symptoms complex between infertile women and comorbidities (p<0.05).Conclusion: Comorbidities that can influence treatment and pregnancy outcomes are common among infertile women in central Nigeria. This finding strongly supports the routine assessment of women for comorbidities during infertility care for appropriate multidisciplinary management and counselling.

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Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital

Cited by 13 publications

References 28 publications

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

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

Is Double Consent For Abdominal Myomectomy Still Necessary?

Comorbidities among infertile women at NKST hospital Mkar-Gboko, North-Central Nigeria

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