Risk of Hysterectomy at Time of Myomectomy

The Risk of Hysterectomy at Time of Myomectomy at Ain Shams University Hospital: A Retrospective Cohort Study.

Uterine fibroids are the commonest tumor affecting the female reproductive tract and many instances they are asymptomatic but in some women there does appear to be an association with heavy menstrual blood loss and possibly subfertility. Classically, treatment has been surgical with hysterectomy the most common approach for women who have completed their fertility and myomectomy for those who wish to conceive. The surgery can be carried out laparoscopically, vaginally and abdominally. The aim of this study is to evaluate the risk of hysterectomy at the time of myomectomy, and the associated 30-day postoperative morbidity.

Inclusion Criteria:

• Women planned for abdominal myomectomy in the previous 4 years.
• Availability of complete medical records for pre-, intra- and post-operative data.

Exclusion Criteria:

• Missing or lacking information in the patients records like preoperative assessment of the fibroid uterus.
• Absence of operative notes and relevant data in the medical files.