Author(s)

Mamadou B. Coulibaly^1*, Alassane Traore¹, Mody A. Camara², Abdrahamane Togo¹, Adama Sangaré¹, Issa Ongoiba¹, Kalba Timbine³, Amadou Sidibé³, Apérou Guindo¹, Niani Mounkoro⁴, Ibrahim Teguete⁴, Youssouf Traore⁴, Moustaphe Toure¹

¹Service of Gynecology of the Hopital du Mali, Bamako, Mali.
²Service of Medical Imaging of the Hopital du Mali, Bamako, Mali.
³Service of Anesthesia and Resuscitation of the Hopital du Mali, Bamako, Mali.
⁴Service of Gynecology-Obstetrics of Gabriel TOURE Teaching Hospital, Bamako, Mali.

The fibroids affect 20% to 25% of women of reproductive age and are 3 to 9 times more common in black women. We’ll talk about giant fibroids (GFs) when uterine height reaches or exceeds the navel. We have initiated this study in order to report the epidemioclinical and therapeutic aspects of giant fibroids at the Hopital du Mali. A descriptive retro-prospective study, conducted in the service of gynecology of the Hopital du Mali from November 2017 to December 2018 were included in this study, any patients, regardless of their age, having developed a fibroid, the uterin

e height of the patient reaching or exceeding the umbilicus on physical examination and who were on surgical treatment. We had collected 30 cases of GFs out of the 92 patients who had undergone myomectomies, with a frequency of 32.60%. The age group 25 - 29 years accounted for 46.6% with an average age of 35 years. Housewives represented 50% and nulligravida made up 33% of our patients. Desire to become pregnant was the main reason for consultation in 34.4% of cases. The uterine height was between 25 and 29 cm on physical examination in 46.66% of cases. Myomectomy was performed in 76.64% and hysterectomy in 23.3% of cases. The size of the nuclei after surgery was over 25 cm in 48.66% of our patients. Conclusion: The giant fibroid (GF) is a common cause of myomectomy. The treatment is either hysterectomy or myomectomy and depends on the indications.

Giant Fibroma, Care, Surgery, Hôpital du Mali

Coulibaly, M. , Traore, A. , Camara, M. , Togo, A. , Sangaré, A. , Ongoiba, I. , Timbine, K. , Sidibé, A. , Guindo, A. , Mounkoro, N. , Teguete, I. , Traore, Y. and Toure, M. (2020) Clinical and Therapeutic Aspects of Giant Fibroids at the Hôpital du Mali about 30 Cases. Open Journal of Obstetrics and Gynecology, 10, 778-789. doi: 10.4236/ojog.2020.1060072.