Hysterectomy in the Hausa/Fulani population in Nigeria.

Two hundred and sixty-five abdominal hysterectomies performed in Ahmadu Bello University Teaching Hospital, Zaria (ABUTHZ) Nigeria form the basis of this study. The commonest indication for operation was fibroids with or without chronic pelvic inflammatory disease. The low incidence of dysfunctional uterine bleeding and endometriosis and the high incidence of trophoblastic disease were noted. The mortality rate was 0.82%. Compared to other series the morbidity rate was high and this was attributed to advanced pathology on presentation and the poor nutritional status of most of the patients.