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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 13, Issue.: 7

Original-research-article

Laparoscopic Myomectomy in a Tertiary Care Centre in Douala, Cameroon

 

Thomas Obinchemti Egbe1*, George Enonchong Enow-Orock2, Gregory Edie Halle Ekane1, Charlotte Nguefack Tchente3 and Eugene Belley-Priso4

1Department of Obstetrics and Gynecology, Douala General Hospital, Box 4856, Douala and Faculty of Health Sciences, University of Buea, Box 63 Buea, Cameroon.

2Department of Pathology, Faculty of Health Sciences, University of Buea and Buea Regional Hospital, Cameroon.

3Department of Obstetrics and Gynecology, Douala General Hospital, Box 4856, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon.

4Department of Obstetrics and Gynecology, Douala General Hospital and Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Cameroon.

Article Information

Editor(s):

(1) Yinhua Yu, Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai Key Laboratory of Female Reproductive Endocrine Related Diseases, China.

Reviewers:

(1) Magdy Abdelrahman Mohamed, Sohag University, Egypt.

(2) Abrao Rapoport, Sao Paulo University, Brazil.

(3) Shigeki Taga, Kagawa Prefectural Central Hospital, Japan.

(4) Wagih Mommtaz Ghannam, Mansoura University, Egypt.

Complete Peer review History: http://sciencedomain.org/review-history/13162

Abstracts

Objective: To assess the feasibility and outcome of laparoscopic myomectomy with single or double-layer closure of myoma bed for management of myomas at a tertiary care centre in Douala, Cameroon.

Materials and Methods: Thirty patients with large or moderate-size myomas were managed laparoscopically from September 1996 to September 2008. The indications for surgery included subfertility, heavy menstrual bleeding, abdominal mass and lower abdominal pain. Pre‑operative evaluation included history, clinical examination and sonographic mapping. Myomas were enucleated and retrieved laparoscopically by morcellation. Myoma beds were sutured in a single or double layer by endoscopic intra-corporeal suturing depending on the depth of the fibroids.

Results: Among our patients, 14 (46.7%) presented with subfertility, 8 (26.7%) with heavy menstrual flow and 6 (20%) with abdominal mass. Two (6.7%) presented with lower abdominal pain. The average maximum diameter of myoma was about 8.5 cm. The mean duration of surgery was 123.2±90 min and blood loss was minimal. The mean post-operative stay in hospital was averagely 3.03 days. There were no intra-operative complications recorded among our series and hospital stay was uneventful.

Conclusion: With proper single layer closure of the myoma bed, laparoscopic myomectomy is feasible for moderate and even large myomas not more than three fibroids, and has excellent outcomes.

Keywords :

Laparoscopy; myomectomy; leiomyomas; single or double layer closure.

Full Article - PDF    Page 1-10

DOI : 10.9734/BJMMR/2016/23499

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