Vol. 7 No. 01 (2023)
Original Article

Type of Operation and Findings During Operation in Fibroid Uterus s

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Ismat Ara
Specialist, Department of Gynaecology and Obstetrics, Evercare Hospital, Dhaka, Bangladesh
Ferdousi Sultana
Ex-Professor, Head of the Department, Department of Gynaecology and Obstetrics, Rangpur Medical College and Hospital, Rangpur, Bangladesh
Ruma Najnin
Assistant Register, Sheikh Rasel Gastroliver Institute and Hospital, Dhaka, Bangladesh
Sadia Afreen
Senior Specialist, Department of Gynaecology and Obstetrics, Evercare Hospital, Dhaka, Bangladesh
Tahmina Begum Tuhin
Associate Consultant, Department of Gynaecology and Obstetrics, Evercare Hospital, Dhaka, Bangladesh

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Abstract

Introduction: Uterine fibroids, benign tumors affecting a significant proportion of women, present diverse clinical symptoms impacting quality of life. Surgical management is intricate, ranging from minimally invasive to extensive procedures. Establishing a standardized operative classification becomes imperative for tailored approaches. This scientific inquiry aims to review existing classifications and analyze postoperative findings, contributing valuable insights to the evolving landscape of fibroid uterus surgery. Objective: This study aimed to investigate the type of operation in fibroid uterus and analyze the findings during operation in patients undergoing surgical intervention. Methods and materials: A retrospective analysis was conducted on a cohort of 50 patients with fibroid uterus who underwent surgical procedures between March 2011 and March 2012. Patient demographics, preoperative imaging, and operative records were reviewed to classify fibroids based on size, location, and number. Surgical procedures included myomectomy and hysterectomy. Results: In this study, it is found that 72% of cases involved only total abdominal hysterectomy (TAH), 12% involved TAH combined with unilateral salpingo-oophorectomy, and 10% involved TAH combined with bilateral salpingo-oophorectomy, 4% involved myomectomy, and 2% involved polypectomy. During operation it was identified that 44% of patients had uteri that were 13–16 weeks gestation when they had surgery, 90% had several myomas, 96% had myomas in the corpus and fundus of the uterus, and 84% primarily had interstitial. Conclusion: The study findings collectively contribute to a comprehensive understanding of the surgical landscape for uterine conditions, emphasizing the diverse nature of procedures performed and the specific characteristics associated with patients undergoing these surgeries

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Published 10-02-2024

Keywords

  • Total Abdominal Hysterectomy,
  • salpingo-oophorectomy,
  • myomectomy,
  • myomas

How to Cite

1.
Ara I, Sultana F, Najnin R, Afreen S, Tuhin TB. Type of Operation and Findings During Operation in Fibroid Uterus s. Planet (Barisal) [Internet]. 2024 Feb. 10 [cited 2024 Jul. 25];7(01):226-32. Available from: https://bdjournals.org/index.php/planet/article/view/425