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Surgical Management of Uterine Fibroids: About 175 Cases

Open Journal of Obstetrics and Gynecology 2023年第3期13卷 481-489页

作者： Ngom Papa Malick Faye Marie Edouard Gaye Yaye Fatou Sylla Mafing Aya Niang Ndama Samb Abdoulaye Ndiogou bentaleb hajar Inzale Mohamed Amine Koné Madjiguène Department of Obstetrics Gynecology Hospital Principal Dakar Dakar Senegal Department of Anesthesia Hospital Principal Dakar Dakar Senegal

Background: Uterine fibroids are a common condition in Senegal and often symptomatic. Our study aims to determine the epidemiological profile, to clarify the diagnostic aspects and to evaluate the surgical management of patients with uterine fibroids. Patients and Method: We carried out a retrospective and descriptive study carried out over a period of 30 months, from August 1, 2017 to January 31, 2020, concerning all patients who underwent surgery for the treatment of uterine myomatosis in the department of Gynecology Obstetrics of the Hospital Principal of Dakar. The data was collected from the patients’ medical records and analyzed using Excel version 2016 and R version 4 software. Results: We collected 175 surgical interventions for uterine fibroids, representing 44.7% of gynecological interventions. Most of the patients were between 30 and 39 years old, with an average age of 39 years. The nulliparous were the majority with 64.6%. The clinical symptomatology was represented by genital bleeding (32.6%), pelvic pain (18.85%) and infertility (12.6%). The diagnosis was confirmed by pelvic ultrasound in all patients with variable myoma topography. A myomectomy was performed in 82.3% of cases and a total hysterectomy in 17.7%. The postoperative course was simple in 94.2% of cases, and the results of treatment revealed a disappearance of symptoms in 94.3% of cases. Conclusion: Surgery occupies a prominent place in the management of uterine fibroids.

关键词： Uterine Fibroid Myomectomy Pelvic Ultrasound

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Management and Maternal-Fetal Prognosis of Placental Abruption: A Retrospective Study of 130 Cases

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Open Journal of Obstetrics and Gynecology 2022年第7期12卷 590-598页

作者： Papa Malick Ngom Faye Marie Edouard Gaye Yaye Fatou Sylla Mafing Aya Tine Marguerite Ndew Inzale Mohamed Amine bentaleb hajar Fall Khadidja Koné Madjiguène Fall Mouhamadou Mansour Department of Obstetrics Gynecology Dakar Principal Hospital Dakar Sénégal Gynecological and Obstetrical Clinic Hopital Aristide Le Dantec Dakar Sénégal Department of Neonatology Dakar Principal Hospital Dakar Sénégal Department of Anesthesia Dakar Principal Hospital Dakar Sénégal Resuscitation Service Dakar Principal Hospital Dakar Sénégal

Objective: To describe the epidemiological, clinical and prognostic factors and assess treatment of placental abruption in the obstetrics gynecology department of the Dakar Principal Hospital. Patients and Method: We carried out a retrospective observational study of 130 successive cases of placental abruption, which occurred from January 2015 to December 2017 at the Level 3 Maternity Unit of the Dakar Principal Hospital. Data were collected from non-computerized obstetric records and analyzed using Excel and Epi info software. Results: There were 130 cases of placental abruption, that is a prevalence of 1.5%. The average age of onset of placental abruption was 30 years. The history of hypertension concerned 32.3% of patients, the average gestational age of 32.5 weeks at the time of diagnosis, grade 3 of Sher was found in 48.5% of cases. The outcome of the pregnancy was a caesarean section in 79.2% of cases, the average weight of newborns was 2058 g. The management of the complications required a blood transfusion and intensive care. A haemostasis hysterectomy was performed in 6.2% of cases. Stillbirth rate was 53.7% and maternal mortality was zero. Discussion and Conclusion: Placental abruption, a severe complication of pregnancy, is associated with high perinatal morbidity and mortality linked to the severity of the clinical picture, despite an improved maternal prognosis.

关键词： Placental Abruption Perinatal Mortality Maternal Morbidity

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