Transforming Fibroid Care Surgical Insights from the Teaching Hospital of Angré

Introduction

Uterine fibroids benign tumors affecting millions of women globally—are a major concern in gynecology. A recent study from the Teaching Hospital of Angré, Côte d’Ivoire, offers valuable perspectives on surgical management practices based on 193 cases, aligning with FIGO guidelines. Visit Obstetric and Gynecology Journal for more groundbreaking research in this field.

Study Overview

The study, titled “Surgical Management of Uterine Fibroids at the Teaching Hospital of Angre Abidjan Cote d’Ivoire: 193 Cases Report”, systematically analyzed surgical outcomes over a three-year period (2020–2022), focusing on patient demographics, myoma characteristics, surgical procedures, and postoperative results.

Read the full study at https://doi.org/10.29328/journal.cjog.1001132.

Key Findings:

• Patient Demographics: 71.5% were above 35 years old; 52.8% were nulliparous.
• First Surgical Indication: Menometrorrhagia (88.6%) was the leading cause, followed by the desire for motherhood (37.8%).
• Surgical Procedures:
  • Myomectomy (primarily under cervical-isthmic tourniquet) dominated for fertility preservation.
  • Hysterectomy was reserved mainly for compressive symptoms.
• Postoperative Outcomes:
  • 91.7% experienced a simple recovery.
  • Complications like anemia and uterine suture hemorrhage were rare.

Insights into Surgical Trends

The hospital predominantly managed large, multifocal fibroids using laparotomy. Notably, the approach to myomectomy under a cervical-isthmic tourniquet significantly minimized intraoperative blood loss. Myomectomies were most common for FIGO type 4 myomas, while hysterectomies were more frequent for FIGO type 7 cases.

An external medical source, the American College of Obstetricians and Gynecologists (ACOG), emphasizes the importance of tailoring fibroid management strategies to patient age, fertility goals, and fibroid characteristics.

A detailed analysis can be found in our main journal article.

Shifting Towards Minimally Invasive Techniques

While laparotomy remains standard at the Teaching Hospital of Angré, the study highlights the need to adopt minimally invasive surgeries (laparoscopy, hysteroscopy, transvaginal approaches) for smaller fibroids (≤ 5 cm, FIGO type 0-3), in alignment with modern gynecologic surgery trends. Encouragingly, research suggests that minimally invasive myomectomy can dramatically improve recovery time, reduce complications, and enhance fertility outcomes.

Future Directions

The results affirm that surgical decisions were made in accordance with FIGO guidelines and patient-centered care principles. However, expanding access to advanced surgical techniques could further optimize patient outcomes, reduce hospital stays, and minimize operative risks.

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