Author(s)

Mamadou Bakary Coulibaly^1*, Alassane Traoré¹, Mody Abdoulaye Camara², Adama Sangaré¹, Issa Ongoiba¹, Mamadou Keïta³, Kalba Tembine⁴, Amadou Sidibé⁴, Ibrahim Teguete⁵, Youssouf Traore⁵

¹Service of Gynecology of Hôpital du Mali, Bamako, Mali.
²Service of Medical Imaging of Hôpital du Mali, Bamako, Mali.
³Gynecology-Obstetrics Unit of Referral Health Center of Commune VI, Bamako, Mali.
⁴Service of Anesthesia and Resuscitation of Hôpital du Mali, Bamako, Mali.
⁵Service of Gynecology-Obstetrics Chu Gabriel Toure, Bamako, Mali.

Uterine leiomyomas (myomas) are the most common benign tumors of the female genital tract. They affect 20% to 25% of women of childbearing age and are 3 to 9 times more common in black women. We initiated this study in order to report the socio-demographic aspects and the indications for leiomyomas surgery at Hôpital du Mali. This was a retro-prospective descriptive study, conducted in the gynecology department of Hôpital du Mali from January 1, 2015 to December 31, 2019. Any patients, regardless of their age, in whom a leiomyomas had been detected and surgically treated were included. We had collected 180 cases of surgery for leiomyomas out of 950 surgical procedures, with a frequency of 18.94%. The 36 - 45 age group represented 45% of our patients with an average age of 35 years. Nulligravida accounted for 48.9% and nulliparous (60%). The main reason for consultation was the desire to become pregnant (53.33%). A history of myomectomy was found out in 15.55% of patients. Pelvic ultrasound figured out 64.44% interstitial myomas. Myomectomy was performed in 88.88% of cases and hysterectomy in 11.12% of cases. Among our patients 39.37% had become pregnant. Operative complications were dominated by anemia 14.44%. Leiomyoma was the histological tissue found in all cases of myomectomy. The average duration of hospitalization was 3 days. Conclusion: Leiomyomas surgery is the first scheduled gynecological surgical activity. Laparotomy remains the primary route of entry. The indications are dominated by the desire for pregnancy.

Uterine Leiomyomas, Surgery, Hôpital du Mali

Coulibaly, M. , Traoré, A. , Camara, M. , Sangaré, A. , Ongoiba, I. , Keïta, M. , Tembine, K. , Sidibé, A. , Teguete, I. and Traore, Y. (2021) Uterine Leiomyomas Surgery: Assessment of Five Years in the Gynecology Department of Hôpital du Mali. Open Journal of Obstetrics and Gynecology, 11, 1161-1171. doi: 10.4236/ojog.2021.119110.