An Appraisal of Anaesthesia for Abdominal Myomectomy in a Tertiary Institution in North-Central Nigeria

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dc.contributor.authorAdegboye, M.B
dc.contributor.authorIbegbula E.O
dc.contributor.authorUwadiae O.I
dc.date.accessioned2025-04-29T10:33:06Z
dc.date.available2025-04-29T10:33:06Z
dc.date.issued2024
dc.description.abstractBackground: Abdominal myomectomy is a common gynaecological surgical procedure in our institution to remove uterine fibroids. This study examined the anaesthetic technique and the determinants of immediate postoperative complications and outcomes. Objective: A retrospective study of the various types of anaesthetic techniques used and the immediate post-operative/anaesthetic complications following an open abdominal myomectomy. Methods: This was a cross-sectional study of all open abdominal myomectomies performed from 1st January 2016 to 31st December 2019 at the University of Ilorin Teaching Hospital. Data collected included demographic data, anaesthetic technique, uterine size, estimated blood loss and postoperative outcomes and complications. Data were analysed using Chi-square and Fisher's exact test as appropriate using SPSS (IBM SPSS Statistics version 22.0 Armonk, NY IBM Corp). A p-value of ? 0.05 was taken to be significant. Results: Two hundred open myomectomies were suitable for analysis. The mean age was 36.4±6.0 years and most patients were ASA I 102(51.0%). Most of the surgeries were performed under regional anaesthesia (RA) 130(65.0%) and 56(28.0%) under general anaesthesia (GA) with 14(7.0%) converted from RA to GA. The predominant RA used was epidural anaesthesia 56(28.0%). Most of the patients who had an estimated blood loss of greater than 2000mls 15(71.4) had GA p=0.000. Only one patient 1(0.5%) had an intraoperative cardiac arrest and was resuscitated. Conclusion: Regional anaesthesia for open myomectomy is high in our institution with a very good outcome, because of the availability of welltrained personnel
dc.identifier.issn0047-651X
dc.identifier.urihttps://uilspace.unilorin.edu.ng/handle/123456789/15666
dc.language.isoen
dc.publisherZambia Medical Association
dc.subjectFibroids
dc.subjectAbdominal myomectomy
dc.subjectAnaesthesia techniques
dc.subjectPerioperative outcomes
dc.subjectPostoperative complications
dc.titleAn Appraisal of Anaesthesia for Abdominal Myomectomy in a Tertiary Institution in North-Central Nigeria
dc.typeArticle

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