[Management of uterine fibromas. Report of 219 cases].
This study is about 219 uterine fibroma treated surgically between 1994 and 1998. The surgical operation represent 19.1% of the gynecological interventions. The average age of our patients was of 41.7 years with 30.6% of nulliparous. The main motives of consultation were: the confusion of the menstrual cycle in 56.6%, the pelvic pains in 32%, the increase of the volume of the belly in 10% and the infertility in 10% of cases. The surgical indications were dominated by the big size of the womb in 68% of cases and hemorrhagic complications in 57.7% of cases. The myomectomy indicated for women young and avid for pregnancy was realized in 94 cases; 80.8% by abdominal way, 13.8% by hysteroscopic way and 5.3% by coelioscopy. Hysterectomy proposed for women near menopauses was realized in 125 cases: 70.4% by abdominal way and 29.6% by vaginal way. The complications per- and post-operating are rare, represented essentially by the bleeding and the urinary infections.
Mahbouli
S
S
Service de gynécologie-obstétrique, hôpital militaire principal d'instruction de Tunis.
Messaoudi
Y
Y
Chandoul
Y
Y
Zayene
H
H
Messaoudi
F
F
Basly
M
M
Messaoudi
L
L
Chibani
M
M
Rachdi
R
R
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009215:Myometrium / Q000601:surgery*; D017699:Pelvic Pain / Q000209:etiology; D011183:Postoperative Complications; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014621:Vagina / Q000601:surgery