Abdominal Myomectomy Versus Abdominal Hysterectomy for symptomatic uterine fibroid in patients admitted at Babylon Maternity Hospital

Dr. Helen Samer Hassan; Dr. Ali Laibi Zamil; Dr. Osamha Abdul-Kadhim Radhi

Volume : VII, Issue : XII, December - 2018

Abdominal Myomectomy Versus Abdominal Hysterectomy for symptomatic uterine fibroid in patients admitted at Babylon Maternity Hospital

Dr. Helen Samer Hassan, Dr. Ali Laibi Zamil, Dr. Osamha Abdul Kadhim Radhi

Abstract :

Background:

Uterine leiomyoma is common problem among women; its removal is commonly associated with complications. Many researches are looking forward to decide the management with less complication.

Aim:

To compare the preoperative demography, clinical presentation and postoperative complication of total abdominal hysterectomy and abdominal myomectomy in the surgical management of uterine fioid among Iraqi patients.

Patients and Method:

This is a hospital base cross sectional study carried out at the Obstetric and gynecological department in Babylon Maternity Hospital, Hilla city, Iraq during the year 2011. The study involved all patients underwent surgery for fioid in the unit and the decision of surgery done according to patient�s age, parity, sizes of the uterus and fioid were determined by pelvic ultrasonography and the patients preference. The hospital records of the patients were retrospectively reviewed to collect the data for the study. Postoperative complications included: intraoperative bleeding, postoperative pyrexia, postoperative blood transfusion and the duration of hospital staying.

Results:

This study involved 70 patients of whom 52 women (74%) underwent Hysterectomy and 18 women (26%) underwent Myomectomy. Myomectomy was performed for relatively younger women with lower parity, higher Hb. level and smaller uterine and fioid sizes as compared to Hysterectomy (P<0.001).Myomectomy associated with a significantly higher rate of postoperative blood transfusion, postoperative pyrexia and duration of hospitalization than Hysterectomy (p<0.001).

Conclusions:

Abdominal Hysterectomy was preferred more than Abdominal Myomectomy as surgical management of uterine fioid and associated with less postoperative complications than Myomectomy.