Open AccessPre- and Postoperative Evaluation of Operated Myoma Uteri Patients: a 5-Year Tertiary Care Experience
Author(s) -
Hıdır Budak,
Rezan Buğday,
Mehmet Şükrü Budak,
Ahmet Yalınkaya,
Adnan Budak,
Talip Gül
Publication year - 2019
Publication title -
aegean journal of obstetrics and gynecology
Language(s) - English
Resource type - Journals
ISSN - 2717-6320
DOI - 10.46328/aejog.v1i1.12
Subject(s) - medicine , myoma , adenomyosis , uterine leiomyoma , hysterectomy , tertiary care , abdominal hysterectomy , leiomyoma , surgery , obstetrics and gynaecology , pregnancy , uterus , gynecology , endometriosis , biology , genetics
This study aims to evaluate the pre- and postoperative outcomes of myomas operated in a tertiary clinic.
Method: We retrospectively evaluated data from a total of 378 cases operated for myomas between January 2014 and December 2018 in the Dicle University Medical Faculty Obstetrics and Gynecology Clinic.
Results: There were 169 cases of abdominal myomectomy (44.7%), 156 cases of total abdominal hysterectomy (41.3%), 15 cases of laparoscopic myomectomy (4%), 13 cases of total laparoscopic hysterectomy (3.4%), 12 cases of myomectomy during cesarean delivery (3.2%), 9 cases of hysteroscopic myomectomy (2.4%), and 4 cases of vaginal myomectomy (1.1%). Pathology results revealed 341 cases of leiomyoma (88.2%), 32 cases of concomitant leiomyoma and adenomyosis (8.4%), and 13 cases of STUMP (3.3%). There were 5 cases of intraoperative bowel injury, 1 case of bladder injury, and 1 case of postoperative wound infection.
Conclusion: Myomas can be surgically treated with satisfactory outcomes and low complication rates. The preferred surgical treatment will majorly depend on the patient's fertility expectations.