Research Article
Volume 10 Issue 5 - 2021
Trends and Outcomes of Open Abdominal Myomectomy in the Management of Uterine Fibroid at a Tertiary Hospital in Port-Harcourt, Nigeria: A 5-year Review
Peter A Awoyesuku*, Ngozi J Kwosah, Basil O Altraide and Chinweowa Ohaka
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port-Harcourt, Nigeria
*Corresponding Author: Peter A Awoyesuku, Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port-Harcourt, Nigeria.
Received: January 18, 2021; Published: April 06, 2021


Background: Symptomatic uterine fibroids are frequently encountered in gynecological practice in black populations. Its removal is associated with some complications and to control the occurrence of these, requires an understanding of the associated factors.

Objective: This study sought to determine the rate and trend, indications, outcome and determinants of complications of open abdominal myomectomy in a tertiary hospital.

Methodology: This was a retrospective review of open abdominal myomectomies performed between April 2015 to March 2020. Data were obtained from operating theater and gynecological ward records. Continuous variables were analyzed using Student’s t-test and categorical variables were analyzed with chi-square test or Fisher’s exact test. Multiple regression was used to test for significant associations with P < 0.05 as significant.

Results: There were 1557 gynecological surgeries during the study period of which 374 (24%) were abdominal myomectomy, with an increasing trend from 20% in 2015 to 34.1% in 2019. Majority 219 (58.6%) were in the age category of 30-39 years and were nulliparous 298 (79.7%). The commonest indication was menorrhagia 294 (78.6%). Majority 286 (76.5%) had blood loss of < 500mls and 197 (52.7%) had duration of surgery of 120-180mins. The commonest complications were blood transfusion 88 (23.5%), Anemia 52 (13.9%) and wound sepsis 29 (7.8%). Hysterectomy for uncontrollable bleeding occurred in 8 (2.1%) of the women, there was no death recorded. Hemorrhage (blood loss), duration of surgery and indication for surgery were significantly related to the occurrence of complications on bivariate analysis, but following logistic regression, only hemorrhage remained significant.

Conclusion: About a quarter of all gynecological surgeries performed were open abdominal myomectomy, with a rising trend. The outcome in this study was generally favorable and hemorrhage (blood loss) was significantly associated with the occurrence of most complication. Measures should be taken to reduce blood loss at surgery and patients should be counseled preoperatively on the risk of blood loss and the possibility of blood transfusion.


Keywords: Abdominal Myomectomy; Uterine Fibroids; Trends; Outcome and Complications


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Citation: Peter A Awoyesuku., et al. “Trends and Outcomes of Open Abdominal Myomectomy in the Management of Uterine Fibroid at a Tertiary Hospital in Port-Harcourt, Nigeria: A 5-year Review”. EC Gynaecology 10.5 (2020): 01-15.

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