Role of Laparoscopic Surgery in the Treatment of Uterine Fibroids
Abstract
Background: With a lifetime prevalence of around 30%, uterine fibroids are the most common type of tumours in women.
Objective: To evaluate the outcomes of laparoscopic surgery for uterine fibroids.
Patients and methods: Data was presented baseline clinical characteristics of patients who underwent laparoscopic myomectomy between 16th July 2022 and 24th October 2023 and where enrolled in a cross-sectional study to investigate laparoscopic surgery effect in the treatment of uterine fibroids, which include 75 cases with age range (25-40) years. Our study was conducted to determine the distribution of clinical outcomes for patients with uterine fibroids, which include age, BMI, and symptoms.
Results and discussion: Our study showed that the rate of uterine fibroids in patients with age (33-40) years got 44% where; this percentage was considered greater in comparison with patients’ lower hat 30 years. According to BMI results, our study noticed that the rate of patients who have BMI >27.5 was 60%, which patients with BMI <27.5 was 40%. Our study found that 27% of patients were affected by heavy or prolonged menstrual periods, while 18.67% experienced pelvic pain. To further analyse the outcomes, we determined the size, number, and type of fibroids. Patients with fibroids less than 30mm in size accounted for half of the total patient percentage, and 70% of patients had less than three myomata. In 67% of all cases and based on clinical outcomes, intramural was the most prevalent type of fibroid among patients with uterine fibroids, with 52% of total cases. Additionally, the duration of surgery and the corresponding decrease in haemoglobin levels, as well as the estimated blood loss rate (114.6±43.2), were used to assess surgical outcomes. These parameters contributed to a postoperative hospitalization period of 3.2±1.8 days.
Conclusion: Laparoscopic surgery is a feasible treatment for uterine fibroids among Iraqi women. Our study discovered benefits, including decreased blood loss and shorter hospital stays.
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