Study of Socio-Economic & Clinical Profile of Fibroids Undergoing Surgical Treatment in a Tertiary Care Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: Uterine leiomyomas (fibroids) are the commonest benign tumors in women. Leiomyomas are the most common tumors in women of reproductive age. Objective of this study is to assess socio-economic & clinical profile of fibroid cases undergoing surgical treatment. This cross sectional prospective study was conducted at Department of Obstetrics and Gynecology in DVVPF’s medical college hospital, Ahmednagar, Maharashtra, over a period 4 years from June 2013 to may 2017.In this study 400 cases of uterine fibroid who were admitted & fulfilling inclusion criteria were included. The incidence of fibroid uterus was 12.34 % of all gynaecological admission. Most cases were seen in 41-45 years age group (47%),followed by 28% in 36-40 years age group. Parity ≥3 accounted for 83.25 % of all cases. Majority of cases were from lower socioeconomic class (53%), followed by lower middle class (29.75%). Most common presenting symptom was menorrhagia 45.25 %, followed by dysmenorrhoea (18 %). Most of the patients were having interstitial type of fibroid (66.5%). Uterine size was between 10-14 weeks (40.75%), followed by 6-10 weeks size (33.5%). Total abdominal hysterectomy with bilateral salpingo oophorectomy (TAH with BSO) was the most common surgical procedure done (37.75%). Post operative pyrexia was the most common complication seen post operatively (7%), followed by urinary tract infections (6.25%).Wound dehiscence was seen in 5 % of all cases. Uterine fibroid are commonly seen in women of reproductive age group and commonly present with menstrual disorders and may be associated with pelvic pain, infertility, pressure symptoms. The treatment is hysterectomy and myomectomy.
Authors and Affiliations
Dr. S. A. Shinde, Dr. U. S. Shinde, Dr. G. S. Aher
Keywords
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