title: [Management of uterine fibromas. Report of 219 cases].
abstract: 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.
authors.affiliation: Service de gynécologie-obstétrique, hôpital militaire principal d'instruction de Tunis.
authors.forename: S
authors.initials: S
authors.lastname: Mahbouli
authors.forename: Y
authors.initials: Y
authors.lastname: Messaoudi
authors.forename: Y
authors.initials: Y
authors.lastname: Chandoul
authors.forename: H
authors.initials: H
authors.lastname: Zayene
authors.forename: F
authors.initials: F
authors.lastname: Messaoudi
authors.forename: M
authors.initials: M
authors.lastname: Basly
authors.forename: L
authors.initials: L
authors.lastname: Messaoudi
authors.forename: M
authors.initials: M
authors.lastname: Chibani
authors.forename: R
authors.initials: R
authors.lastname: Rachdi
mesh_terms: 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