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
References
[1]
Okogbo, F.O., Ezechi, O.C., Loto, O.M. and Ezeobi, P.M. (2011) Uterine Leiomyomata in South Western Nigeria: A Clinical Study of Presentations and Management Outcome. African Health Sciences, 11, 271-278.
[2]
Baird, D.D., Dunson, D.B., Hill, M.C., Cousins, D. and Schectman, J.M. (2003) High Cumulative Incidence of Uterine Leiomyoma in Black and White Women: Ultrasound Evidence. American Journal of Obstetrics and Gynecology, 188, 100-107.
https://doi.org/10.1067/mob.2003.99
[3]
Racinet, C. (2009) Epidemiology, Risk Factors and Symptomatology of Uterine Myomas. MT Medicine of Gynecology Endocrinology Reproduction, 11, 118-122.
[4]
Flake, G.P. andersen, J. and Dixon, D. (2003) Etiology and Pathogenesis of Uterine Leiomyomas: A Review. Environmental Health Perspectives, 111, 1037-1054.
https://doi.org/10.1289/ehp.5787
[5]
Wallach, E.E. and Vlahos, N.F. (2004) Uterine Myomas: An Overview of Development, Clinical Features and Management. Journal of Obstetrics and Gynaecology, 104, 393-406. https://doi.org/10.1097/01.AOG.0000136079.62513.39
[6]
Coulibaly, A., Sima, M., Traoré, M.S., et al. (2020) The Place of Uterine Fibroid in Patients Who Consult for Infertility the Service of Gynecology-Obstetrics of THC Point G. Malian Review of Science and Technology, 1, 18-24.
[7]
Koffi, A.B.D., Olou, N.L., Fomba, M., Séni, K., Horo, A. and Touré-Ecra, A.F. (2013) Surgery of Uterine Fibroids: Assessment of Five Years of Activity in the Gynecology Department of the THC of Yopougon (Abidjan). Rev IntSc Med, 15, 95-99.
[8]
Rakotomahenina, H., Rajaonarison, J.J.C. andrianampy, H., Randriambelomanana, J.A., Brun, J. and Hocke, G. (2016) Evaluation of the Obstetric Prognosis after Myomectomy in the Obstetric Gynecology Department of CHU Bordeaux. Malagasy Journal of Gynecology-Obstetrics, 2, 19-24.
[9]
Bang Ntamack, J.A., Mayi-Tsonga, S., Sima Ole, B. and Meye, J.F. (2009) Pregnancy after Myomectomy in Libreville, Gabon. Clinic of Mother Child Health, 6, 1101-1106.
[10]
Chalal, N. and Demmouche, A. (2013) Epidemiological Profile of Uterine Fibroids in the Region of SidiBel Abbes, Algeria. Pan African Medical Journal, 15, 7.
[11]
Lethaby, A., Vollenhoven, B. and Sowter, M.C. (2001) Pre-Operative GnRH Analogue Therapy before Hysterectomy or Myomectomy for Uterine Fibroids. Cochrane Database of Systematic Reviews, No. 2. CD000547.
https://doi.org/10.1002/14651858.CD000547
[12]
Friedman, A.J., Hoffman, D.I., Committee, F., Browneller, R.W. and Miller, J.D. (1991) Treatment of Leiomyomata Uteri with Leuprolide Acetate Depot: A Double-Blind, Placebo-Controlled, Multicenter Study. The Leuprolide Study Group. Obstetrics & Gynecology, 77, 720-725.
[13]
Foulot, H., Chopin, N., Malartic, C., Fauconnier, A. and Chapron, C. (2005) Myomectomies by Laparotomy. EMC-Obstetrics Gynecology, 2, 377-383.
https://doi.org/10.1016/j.emcgo.2005.08.001
[14]
Daraï, E., Dessolle, L., Poncelet, C., Omnes, S., Soriano, D., Benifla, J.-L. and Madelenat, P. (2001) Laparoscopic Myomectomy: Critical Analysis of a Nine-Year Experience. The Gynecologist’s Letter, 263, June 2001.
[15]
Doumbia, Y., Hocke, C., Djanhan, Y., N’guessan, K., Bokossa, M. and Prat-Balagna (2004) laparoscopic Myomectomy: Experience of the Gynecology Department of SAINT ANDRE DE BORDEAUX Hospital. Mali Medical, T XIXN, 37-38.
[16]
Ojabo, A.O., Adesiyun, A.G., Hembah-Hilekaan, S.K., Ameh, N., Umar, H. and Mohammed-Durosinlorun, A. (2015) Experience with Pfannenstiel Incision for Very Large Uterine Fibroids. International Journal of Advances in Case Reports, 2, 359-362.
[17]
Legendre, G., Brun, J.-L. and Fernandez, H. (2011) Place of Myomectomies in Spontaneous Conception or in Women Wishing to Preserve Their Fertility. Journal of Obstetric Gynecology and Reproductive Biology, 40, 875-884.
https://doi.org/10.1016/j.jgyn.2011.09.023
