E Abe1, L O Omo-Aghoja. 1. Department of Obstetrics and Gynaecology, Central Hospital, Benin City. ognosa@yahoo.com
Abstract
BACKGROUND: Hysterectomy is a very common gynaecological procedure which has a significant place in optimizing the reproductive health outcomes of women. OBJECTIVES: To document the indications, the type of hysterectomy commonly performed, the difficulties encountered and complications of the procedure at the Central Hospital, Benin City. MATERIALS AND METHODS: This was a retrospective review of the service delivery records of patients that had hysterectomy in the gynaecological unit between January, 1994 and December, 2003. RESULTS: There were 1216 major gynaecological operations during the study period. Of these, 131 (10.8%) hysterectomies were done. Total abdominal hysterectomy accounted for 80.4% of the procedures performed and most were done by consultants (94.4%). The mean age of the patients was 45.7 years with a median of 46 years and they were commonly grandmultiparous (71.0%). The commonest indication for the procedure was symptomatic uterine fibroid (62.3%) followed by urogenital prolapse (13.1%). The crude morbidity rate was 30.3% and the mortality rate was 1.6%. CONCLUSION: Hysterectomy in this centre is a fairly safe procedure. There is paucity of skills for vaginal and radical procedures. Training is advocated with a view to reducing the presently high morbidity rate as well as achieving our aim of optimizing the reproductive health outcomes of our women.
BACKGROUND: Hysterectomy is a very common gynaecological procedure which has a significant place in optimizing the reproductive health outcomes of women. OBJECTIVES: To document the indications, the type of hysterectomy commonly performed, the difficulties encountered and complications of the procedure at the Central Hospital, Benin City. MATERIALS AND METHODS: This was a retrospective review of the service delivery records of patients that had hysterectomy in the gynaecological unit between January, 1994 and December, 2003. RESULTS: There were 1216 major gynaecological operations during the study period. Of these, 131 (10.8%) hysterectomies were done. Total abdominal hysterectomy accounted for 80.4% of the procedures performed and most were done by consultants (94.4%). The mean age of the patients was 45.7 years with a median of 46 years and they were commonly grandmultiparous (71.0%). The commonest indication for the procedure was symptomatic uterine fibroid (62.3%) followed by urogenital prolapse (13.1%). The crude morbidity rate was 30.3% and the mortality rate was 1.6%. CONCLUSION: Hysterectomy in this centre is a fairly safe procedure. There is paucity of skills for vaginal and radical procedures. Training is advocated with a view to reducing the presently high morbidity rate as well as achieving our aim of optimizing the reproductive health outcomes of our women.
Authors: Quaker E Harmon; Stacy A Patchel; Shanshan Zhao; David M Umbach; Tracy E Cooper; Donna D Baird Journal: Obstet Gynecol Date: 2022-04-05 Impact factor: 7.623