Is Double Consent For Abdominal Myomectomy Still Necessary?
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background: Myomectomy is one of the most frequently performed Gynaecological surgeries worldwide among gynaecologist with attendant risk of complications including conversion to hysterectomy Aim &Objective: The study aims at determining the rate of conversion to hysterectomy among those with intended abdominal myomectomy, the associated mortality rate and the blood loss pattern Material and Method of study: It was a descriptive, retrospective, five year study of all cases of uterine fibroid admitted primarily for abdominal myomectomy in the gynaecology wards of two tertiary hospitals. Results: One hundred and forty one clients scheduled for myomectomies were retrieved in the 2 within the study period. Socio-demographic characteristics revealed that the modal age at presentation was 36-40years and the majority 65.2% (92/141) were nulliparous patients with 44.5% (45/101)been overweight . Most of the clients presented with 16-20 weeks uterine size mass (49.6%, 70/141) and post operative myoma weight of less than 1kg in 72.8% (75/103) and most of the surgeries were completed in 2-3hours. A little over half , 58.6% (82/140) of the surgeries were done by Specialist (Gynaecologist) and the rest by Senior Registrars and the blood loss estimation was comparable in the 2 cadres (p value 0.782 The blood loss was less than 500mL in 76.3% of the cases, the mean blood loss was 491ml (SD 439.6ml) and the mean pint of blood transfused was 0.54 (less than a unit). About two third (91/122) of the cases did not require blood transfusion. There was no mortality in the series and there was zero conversion to hysterectomy Conclusion: There was no case of conversion to hysterectomy in this study which could be as a result of increasing surgical skills and good haemostatic control. Taking double consent for cases going for myomectomy may therefore not be necessary and should not be a norm.
Authors and Affiliations
Jagun O. E, Awonuga D. O, Andu B A, Shorunmu T O
Keywords
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- EP ID EP598025
- DOI 10.9790/0853-1605094144.
- Views 67
- Downloads 0
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