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Indications and Outcome of Gynaecological Hysterectomy at Aminu Kano Teaching Hospital, Kano: A 5-Year Review

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DOI: 10.4236/ojog.2015.55043    3,025 Downloads   3,732 Views   Citations

ABSTRACT

Background: Hysterectomy, is a common operation worldwide. It is a major surgery, which leads to significant morbidity and mortality, hence, there must be a justifiable indication before the procedure is undertaken. Symptomatic uterine fibroid and utero-vaginal prolapse are common indications in this environment. Objectives: To determine the prevalence, indications and outcome of hysterectomy at Aminu Kano Teaching Hospital, Kano. Study Design: A retrospective study of all the hysterectomies that were done in Aminu Kano Teaching Hospital, Kano between 1st of Jan 2009 and 31st of Dec 2013. Result: During the period of study, there were 3843 major gynaecological operations. Out of which hysterectomy was 196, giving hysterectomy rate of 5.1% of all major gynaecological operations. Hysterectomy was highest among patient aged 40 - 49 years accounting for 54.6% of cases and the commonest indication was uterine fibroid, constituting 66.4% of all hysterectomies. Total abdominal hysterectomy was the most frequently preformed, accounting for 78.1% while, vaginal hysterectomy accounts for 20.9% of cases and subtotal hysterectomy was 1%. Hysterectomy was mostly complicated with post-operative pyrexia constituting 24% of all the complications while ureteric injury was the least, constituting 1%. There was no mortality recorded. Most of the patients who had hysterectomy were discharge in less than 10th post-operative day accounting for 91.3% of cases. However, 80.5% of patients who had vagina hysterectomy were discharge in less than 5th post-operative day. Conclusion: The prevalence of hysterectomy was 5.1%. Uterine fibroid was the commonest indication while post-operative pyrexia was the commonest complication found.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Ahmed, Z. and Taiwo, N. (2015) Indications and Outcome of Gynaecological Hysterectomy at Aminu Kano Teaching Hospital, Kano: A 5-Year Review. Open Journal of Obstetrics and Gynecology, 5, 298-304. doi: 10.4236/ojog.2015.55043.

References

[1] Patricia, G.M., Joellen, M.S., Edwin, S.I., Evan, R.M., Margaret, G., Nicolette, W.W. and Frances, W. (2009) A Prospective Study of Weight Gain after Premenopausal Hysterectomy. Journal of Women’s Health, 18, 699-708.
http://dx.doi.org/10.1089/jwh.2008.1019
[2] Patricia, G.M., Joellen, M.S., Edwin, S.I., Evan, R.M. and Frances, W. (2011) Reported Symptoms Before and One Year after Hysterectomy in African American and White Women. Journal of Women’s Health, 20, 1035-1042.
http://dx.doi.org/10.1089/jwh.2010.2543
[3] Okonofua, F.E. (2003) Infertility in Sub-Saharan Africa. In: Okonofua, F. and Odunsi, L., Eds., Contemporary Obstetrics and Gynaecology for Developing Countries, Women’s Health and Action Research Centre, 128-156.
[4] Omigbodun, A.O. and Ayinde, O.A. (2003) Novel Approaches to the Treatment of Uterine Leiomyomata. Tropical Journal of Obstetrics and Gynaecology, 20, 1-3.
[5] Tindall, V.R. (1986) Tumor of the Cervix Uteri: In M Jeff Coates’s Principle of Gynaecology. 5th Edition, Butter Worth, London, 395-416.
[6] Ray, G. (2005) The Future of Hysterectomy. British Journal of Obstetrics and Gynaecology, 122, 133-139.
[7] Onwuhafua, P.I., Ogunlayo, A., Adesuyin, G., Obineche, I. and Akuse, T.J. (2005) Audit of Hysterectomy in a Group of Private Hospitals in Kaduna City, Northern Nigeria. Tropical Journal of Obstetrics and Gynaecology, 1, 16-20.
[8] Onah, H.E. and Ugona, N.C. (2004) An Audit of Vaginal Hysterectomies in Enugu, Nigeria. Tropical Journal of Obstetrics and Gynaecology, 21, 58-60.
[9] Al Kadiri, H.M., Al-Turki, H.A. and Saleh, A.M. (2002) Short and Long Term Complication of Abdominal and Vaginal Hysterectomy from Benign Disease. Saudi Medical Journal, 23, 806-810.
[10] Jones, H.W. (2003) Hysterectomy in Telindes’ Operative Gynaecology. In: Rock, J.A. and Jones, H.W., Eds., 9th Edition, Lippincot Williams and Wilkins, 799-828.
[11] Reich, H., DeCaprio, J. and McGlynn, F. (1989) Laparoscopic Hysterectomy. Journal of Gynecologic Surgery, 5, 213-216.
http://dx.doi.org/10.1089/gyn.1989.5.213
[12] Chang, W.-C., Huang, S.-C., Sheu, B.-C., Chen, C.-L., Torng, P.-L., Hsu, W.-C. and Chang, D.-Y. (2005) Transvaginal Hysterectomy or Laparoscopically Assisted Vaginal Hysterectomy for Nonprolapsed Uteri. Obstetrics & Gynecology, 106, 321-326.
http://dx.doi.org/10.1097/01.AOG.0000171106.39216.17
[13] Shiota, M., Kotani, Y., Umemoto, M., Tobiume, T., Shimaoka, M. and Hoshiai, H. (2011) Total Abdominal Hysterectomy versus Laparoscopically-Assisted Vaginal Hysterectomy versus Total Vaginal Hysterectomy. Asian Journal of Endoscopic Surgery, 4, 161-165.
http://dx.doi.org/10.1111/j.1758-5910.2011.00104.x
[14] Jahan, S., Das, T.R., Mahmud, N., Mondol, S.K., Habib, S.H., Saha, S., et al. (2011) A Comparative Study among Laparoscopically Assisted Vaginal Hysterectomy, Vaginal Hysterectomy and Abdominal Hysterectomy: Experience in a Tertiary Care Hospital in Bangladesh. Journal of Obstetrics & Gynaecology, 31, 254-257.
http://dx.doi.org/10.3109/01443615.2010.550346
[15] Ribeiro, S.C., Ribeiro, R.M., Santos, N.C. and Pinotti, J.A. (2003) A Randomized Study of Total Abdominal, Vaginal Laparoscopic Hysterectomy. International Journal of Gynecology & Obstetrics, 83, 37-43.
http://dx.doi.org/10.1016/S0020-7292(03)00271-6
[16] Okogbenin, S.A., Eigbefoh, J.I., Okonta, P.I. and Onuh, S.O. (2004) Abdominal Hysterectomy for Gynaecological Disease—Six Year Review in UBTH. Tropical Journal of Obstetrics and Gynaecology, 21, S29-S30.
[17] Joseph, D.S. and Richard, M.K.A. (2005) Hysterectomy for Uterine Fibroid in Nulliparae at Korlu BU Teaching Hospital Ghana. Tropical Journal of Obstetrics and Gynaecology, 8, 125-128.
[18] Oyewoye, O.A. (1998) Elective Hysterectomy at Ilorin, Nigeria—4 Years Review. Journal of Obstetrics & Gynaecology, 18, 72-75.
[19] Olumuyiwa, A.R. and Michael, A.O. (2001) Abdominal Hysterectomy for Benign Gynaecological Conditions at Ibadan, Nigeria. Tropical Journal of Obstetrics and Gynaecology, 18, 19-23.
[20] Bukar, M., Audu, B. and Yahaya, U. (2010) Hysterectomy for Benign Gynaecological Conditions at Gombe, North Eastern Nigeria. Nigerian Medical Journal, 51, 35-38.
[21] Akagbosu, F.T. (1996) Audit of Abdominal Hysterectomies at University of Benin Teaching Hospital. Journal of Obstetrics & Gynaecology, 16, 6-12.
http://dx.doi.org/10.3109/01443619609030059
[22] Obiechina, N.J., Ugboaja, J.O., Onyegbule, O.A. and Eleje, G.U. (2010) Vaginal Hysterectomy in a Nigerian Tertiary Health Facility. Nigerian Journal of Medicine, 19, 324-325.
http://dx.doi.org/10.4314/njm.v19i3.60228
[23] Ocheke, A.N., Ekwempu, C.C. and Musa, J. (2009) Underutilization of Vaginal Hysterectomy and Its Impact on Residency Training. West African Journal of Medicine, 28, 323-326.
[24] Arowojolu, A.O. (2003) Hysterectomy. In: Okonofua, F. and Odunsi, K., Eds., Contemporary Obstetrics and Gynaecology for Developing Countries, Women’s Health and Action Research Centre, Benin City, 227-242.
[25] Sait, K., Alkhattabi, M., Boker, A. and Alhashemi, J. (2008) Hysterectomy for Benign Conditions in a University Hospital in Saudi Arabia. Annals of Saudi Medicine, 28, 282-286.
[26] Pokras, R. and Hufragel, V.G. (1987) Hysterectomy in the United States. Vital Health Statistics. Series 13, No. 92, Washington DC Government Printing Office, DHHS Publication No. (PHS) 88-1753.

  
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