Uterine Leiomyomas Surgery: Assessment of Five Years in the Gynecology Department of Hôpital du Mali

作     者：Mamadou Bakary Coulibaly Alassane Traoré Mody Abdoulaye Camara Adama Sangaré Issa Ongoiba Mamadou Keïta Kalba Tembine Amadou Sidibé Ibrahim Teguete Youssouf Traore Mamadou Bakary Coulibaly;Alassane Traoré;Mody Abdoulaye Camara;Adama Sangaré;Issa Ongoiba;Mamadou Keïta;Kalba Tembine;Amadou Sidibé;Ibrahim Teguete;Youssouf Traore

作者机构：Service of Gynecology of Hô pital du Mali Bamako Mali Service of Medical Imaging of Hô pital du Mali Bamako Mali Gynecology-Obstetrics Unit of Referral Health Center of Commune VI Bamako Mali Service of Anesthesia and Resuscitation of Hô pital du Mali Bamako Mali Service of Gynecology-Obstetrics Chu Gabriel Toure Bamako Mali 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2021年第11卷第9期

页      面：1161-1171页

学科分类：07[理学] 0701[理学-数学] 

主　　题：Uterine Leiomyomas Surgery Hôpital du Mali 

摘      要：Uterine leiomyomas (myomas) are the most common benign tumors of the female genital tract. They affect 20% to 25% of women of childbearing age and are 3 to 9 times more common in black women. We initiated this study in order to report the socio-demographic aspects and the indications for leiomyomas surgery atHôpital du Mali. This was a retro-prospective descriptive study, conducted in the gynecology department of Hôpital du Mali from January 1, 2015 to December 31, 2019. Anypatients, regardless of their age, in whom a leiomyomas had been detected and surgically treated were included. We had collected 180 cases of surgery for leiomyomas out of 950 surgical procedures, with a frequency of 18.94%. The 36-45 age group represented 45% of our patients with an average age of 35 years. Nulligravidaaccounted for 48.9% and nulliparous (60%). The main reason for consultation was the desire to become pregnant (53.33%). A history of myomectomy was found out in 15.55% of patients. Pelvic ultrasound figured out 64.44% interstitial myomas. Myomectomy was performed in 88.88% of cases and hysterectomy in 11.12% of cases. Among our patients 39.37% had become pregnant. Operative complications were dominated by anemia 14.44%. Leiomyoma was the histological tissue found in all cases of myomectomy. The average duration of hospitalization was 3 days. Conclusion: Leiomyomas surgery is the first scheduled gynecological surgical activity. Laparotomy remains the primary route of entry. The indications are dominated by the desire for pregnancy.