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EVALUATION OF TREATMENT OUTCOMES FOR UTERINE FIBROIDS USING TOTAL ABDOMINAL HYSTERECTOMY AT CAN THO CENTRAL GENERAL HOSPITAL IN 2024
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Abstract
Introduction: A comprehensive evaluation of clinical outcomes and postoperative results in patients undergoing total abdominal hysterectomy (TAH) for uterine fibroids (UF) not only helps to determine the treatment efficacy but also identifies risk factors, improves surgical processes, enhances treatment outcomes, and optimizes recovery. Objective: To assess the treatment outcomes of uterine fibroids using the total abdominal hysterectomy (TAH) method. Subjects and Methods: A descriptive cross-sectional study involving 47 cases of total abdominal hysterectomy for uterine fibroids at the Obstetrics and Gynecology Department of Can Tho Central General Hospital from January 2024 to November 2024. Results: Most patients experienced minimal pain postoperatively, with a 31.9% recovery rate in mobility within 24 hours after surgery. No surgical complications were recorded. Postoperative complications during hospitalization included 12.8% with bowel paralysis and 2.1% with unexplained fever. A correlation was found between the duration of surgery and the occurrence of adhesions in the abdominal cavity. Conclusion: Total abdominal hysterectomy is a practical, radical, and safe treatment method for uterine fibroids, especially in cases that fail with minimally invasive treatment methods.
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Keywords
uterine fibroids, total abdominal hysterectomy.
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