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Obstetrics and Gynecology International
Volume 2012, Article ID 702325, 6 pages
http://dx.doi.org/10.1155/2012/702325
Research Article

Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital

1Department of Obstetrics and Gynaecology, Bayero University, Kano and Aminu Kano Teaching Hospital, PMB 3452, Kano 700282, Nigeria
2Department of Obstetrics and Gynecology, Murtala Mohammed Specialist Hospital, Kano, Nigeria

Received 14 July 2011; Accepted 9 September 2011

Academic Editor: Horace Fletcher

Copyright © 2012 Abiodun Omole-Ohonsi and Francis 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.

Abstract

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 association with myomectomy. There was no maternal mortality. Conclusion. Surgical operations for uterine fibroids are safe and common kind of gynecological operations at the Aminu Kano Teaching Hospital. Uterine fibroid is associated more with high parity and dominance of abdominal hysterectomy over myomectomy, because early girl marriage is common in our community.