Evaluation of surgical outcomes for uterine fibroids at Nghe An Friendship General Hospital

Abstract

This cross-sectional descriptive study was conducted to evaluate the surgical outcomes for uterine fibroids at Nghe An Friendship General Hospital. 590 patients diagnosed with uterine fibroids who underwent surgery at Nghe An Friendship General Hospital were included in the study. The mean age in our study was 47.33 ± 5.64 years old, with the oldest patient being 70 and the youngest being 30. The 41 – 50 age group represented 61.5%, where the 46 – 50 age subgroup was the most prevalent (38.6%). Laparoscopic surgery was the predominant method (68.8%). The conversion rate from laparoscopy to laparotomy was very low (4.1%); the most common reason for conversion was the presence of adhesions combined with large tumor size (58.3%). Total hysterectomy was the most frequently applied procedure at 71.0%, followed by myomectomy at 15.1% and subtotal hysterectomy at 13.9%. The ovaries and fallopian tubes were preserved in the majority of cases (86.3%). The rate of intraoperative and postoperative blood transfusion was low. Intraoperative and postoperative complications were rare. Uterine fibroids are common in the 41 - 50 age group. Most patients undergo laparoscopic surgery. Total hysterectomy is the most selected surgical method.