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Study Papers | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023

Surgical Management of Uterine Fibroids in a Tertiary Care Hospital

Dr. D Raja Rajeshwari Devi | Dr. Hosritha Suma Chowdary Nadella | Dr. Annapoorna-Yalla

Abstract: Leiomyomas are benign smooth muscle tumours that begin in the myometrium and affect between 20 and 25 percent of symptomatic and 70 to 80 percent of asymptomatic women of reproductive age. Objective: To study the different modalities of surgical management of uterine fibroids, peri - operative and post - operative complications of various methods of myomectomy conducted and final outcomes in a tertiary care teaching hospital. Methodology: A hospital - based prospective study was conducted in the obstetrics and gynaecology department, tertiary care center from 1st April to 1st November 2022. Results: 62 patients of different age groups and parities are studied with the mean age 37 years. Most common complaints include menstrual symptoms 80%, urinary frequency 2%, abdominal mass 11% and infertility 2%. Hysterectomy was done in 66% of cases, myomectomy in 30%, hysteroscopic resection in 2% and cesarean myomectomy in 2%. Complications included blood loss, post operative pyrexia and wound infection. Conclusions: The most prevalent benign tumour in women of reproductive age that affects fertility and general health is a fibrous uterus, requiring surgical management, hysterectomy being the most common modality of surgery.

Keywords: myomectomy, fibroids, leiomyomas, abnormal uterine bleeding

Edition: Volume 12 Issue 3, March 2023,

Pages: 350 - 355