TITLE:
Laparoscopic versus Abdominal Myomectomy: Surgical and Post-Operative Outcomes in CHRACERH-Yaounde
AUTHORS:
Noa Ndoua Claude Cyrille, Belinga Etienne, Wirwah Tardzenyuy Festus, Mangala Nkwele Fulbert, Kasia Jean Marie
KEYWORDS:
Laparoscopic, Abdominal, Myomectomy, Surgical and Post-Operative Outcomes
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.12,
December
26,
2019
ABSTRACT: Introduction: Fibroid benign tumour of the uterus can be operated either by laparotomy or
laparoscopy. Laparoscopy is not well vulgarised in our settings. Objective: The main objective was to compare the surgical and post-operative outcomes
of laparoscopic versus abdominal myomectomy. Methods: We performed a comparative
analytical cross sectional study from 1st January 2016 to 31st March 2018
consisted of two groups: group 1 of women who underwent laparoscopic myomectomy
(LM) and group 2 of women who underwent abdominal myomectomy (AM). The data
collected was entered in Epi Info 7.2 version and exported to IBM SPSS
Statistics version 22 for analysis. We used alpha error margin of 5% and
confidence interval of 95%. Results: We enrolled 50 cases of myomectomy
consisted of 33 (66.0%) files for AM and 17 (34.0%) files for LM. The clinical
presentation of fibroid was similar in both groups. The main operation time (H)
was (1.27 ± 0.13) for laparoscopy which is much less than (2.05 ± 0.07) for laparotomy
group (p = 0.006). In AM group we had 04 post-operatory complications against zero
complications in LM group but the difference was not statistically significant
(p = 0.387). In the second look laparoscopy, the
types of adhesions were not statistically significant (p = 0.471). Conclusion: Laparoscopic offers advantages compared to abdominal
myomectomy.