surgical management of uterine fibroids at aminu kano teaching hospital手术治疗子宫肌瘤的aminu卡诺教学医院.pdfVIP

Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2012, Article ID 702325, 6 pages doi:10.1155/2012/702325 Research Article Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital Abiodun Omole-Ohonsi1 and Francis Belga2 1 Department of Obstetrics and Gynaecology, Bayero University, Kano and Aminu Kano Teaching Hospital, PMB 3452, Kano 700282, Nigeria 2 Department of Obstetrics and Gynecology, Murtala Mohammed Specialist Hospital, Kano, Nigeria Correspondence should be addressed to Abiodun Omole-Ohonsi, aomohonsi@ Received 14 July 2011; Accepted 9 September 2011 Academic Editor: Horace Fletcher Copyright © 2012 A. Omole-Ohonsi and F. Belga. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. To determine the influence of age and parity on the surgical management of uterine fibroids, clinical presentation, presence of pelvic adhesions, cadre of surgeons, and postoperative complications at the Aminu Kano Teaching Hospital, Kano, Nigeria. Methods. A retrospective analysis of 105 cases of uterine fibroids that were managed between 1st January 2003 and 31st December 2007. Results. The period prevalence of uterine fibroids was 24.7% of all major gynecological operations. The mean age was 35.8 ± 7.6 and mean parity 4.7 ± 2.8. Abdominal hysterectomy accounted for 58.1% of the cases and myomectomy 41.9%. The odd of using abdominal hysterectomy was about twice that of myomectomy. Pelvic adhesions were found in 67.6% of the cases. Menorrhagia (86.7%) was the commonest symptom, while post operative anemia and pyrexia showed significant associ