A 5-Year Review of Abdominal Myomectomy and Its Outcome in Rivers State University Teaching Hospital, Port Harcourt, Nigeria

Background: Uterine Fibroids, also known as Leiomyoma, are the commonest benign tumors Of the uterus. Treatment of uterine fibroids could be conservative management, Medical treatment, surgical treatment and radiological treatment.

The surgical treatment could be Hysterectomy, Myomectomy (abdominal, vaginal, laparoscopical) This article is aimed at highlighting the commonest surgical treatment of uterine fibroid in Rivers State University Teaching Hospital. (RSUTH) and certain outcomes or sequelae associated with these surgeries.

It is a common surgical option for women who wish to preserve their uterus and those hoping to have more children.

Methods: This was a retrospective cross-sectional study of all abdominal myomectomies done in this RSUTH between January 2017 to December 2021. The data collected were analysed using SPSS version 20 after a review of the theatre register, anaesthesia charts, patient case notes, and the gynaecological ward records.

Results: A total of 540 women had surgery for uterine fibroids. Of common complications were fever, massive intraoperative haemorrhage (>1.5L), intestinal obstruction (paralytic ileus), iatrogenic bowel injury and anaesthetic complications. No death was recorded.

Conclusion: One of the most popular treatments for symptomatic uterine fibroids is abdominal myomectomy. Despite the possibility of major perioperative difficulties, the results are typically positive. Therefore, the proper safety measures should be implemented to reduce these issues.