Volume 7, Issue 5, September 2019, Page: 145-148
Laparotomy Myomectomy: Epidemiology, Indications and Prognosis at Loandjili General Hospital (Republic of Congo)
Eouani Levy Max Emery, Obstetrics and Gynecology Department, Loandjili General Hospital, Pointe Noire, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Mokoko Jules Cesar, Obstetrics and Gynecology Department, Brazzaville University Hospital, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Buambo Gauthier Regis Jostin, Obstetrics and Gynecology Department, Brazzaville University Hospital, Brazzaville, Congo
Potokoue Mpia Sekangue Samantha Nuely, Obstetrics and Gynecology Department, Brazzaville University Hospital, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Itoua Clautaire, Obstetrics and Gynecology Department, Brazzaville University Hospital, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Iloki Leon Herve, Obstetrics and Gynecology Department, Brazzaville University Hospital, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Received: Aug. 15, 2019;       Accepted: Sep. 18, 2019;       Published: Oct. 9, 2019
DOI: 10.11648/j.jgo.20190705.15      View  74      Downloads  14
Abstract
To describe the epidemiological profile of patients, list myomectomy indications and report their prognosis at Loandjili General Hospital. A descriptive cross-sectional study conducted from 1 January 2016 to 31 December 2018 in the Gynecology Department of Loandjili General Hospital, including exhaustively all patients operated for myomectomy. The variables studied were pre (age, gestity, parity, indication), per (myoma measures, blood loss, intraoperative transfusion, complications and peroperative incidents) and postoperatively (hospital stay). Ninety-two patients had been received for surgical management of uterine fibroids out of a total of 1,455 gynecological procedures or 6.3%. The median age was 36.5 years [range 27 - 44] with a peak in the 36 to 40 age group (37%). The median gestity and parity were respectively 2 [range 0 - 12] and 1 [range 0 - 7]. More than half of the patients were nulliparous (51.1%). In 71.7% of cases (n = 66), myomectomy was performed in a context of desire for maternity. Indications for myomectomy were hemorrhage (46.7%), large uterus above the umbilicus (37%) and pelvic pain (16.3%). The polymyomectomy was performed in 64.1% of the cases (n = 59) with nuclei of size varying between 2 and 20 cm. The morbidity was marked on the one hand by anemia (n = 14 or 14%) secondary to an intraoperative haemorrhage which resulted in two cases in performing a hemostatic hysterectomy and in the other by rupture of the uterine cavity. Postoperative blood loss was estimated at 200 to 1400 ml, resulting in more than half of the patients receiving blood transfusions (58%). Myomectomy by laparotomy is often accompanied by significant blood spoliation thus increasing the postoperative morbidity. Techniques that minimize intraoperative blood loss should be used for laparotomy myomectomy.
Keywords
Myomectomy, Laparotomy, Epidemiology, Indications, Prognosis, Pointe Noire
To cite this article
Eouani Levy Max Emery, Mokoko Jules Cesar, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuely, Itoua Clautaire, Iloki Leon Herve, Laparotomy Myomectomy: Epidemiology, Indications and Prognosis at Loandjili General Hospital (Republic of Congo), Journal of Gynecology and Obstetrics. Vol. 7, No. 5, 2019, pp. 145-148. doi: 10.11648/j.jgo.20190705.15
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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