Authors
Onuminya DS
Abstract
Hysterectomy is the surgical removal of the uterus through an abdominal or vaginal route. It is a very common major surgery in gynaecological practice, but there has been no clinical audit from Irrua.
Aim: The aim of the study is to determine the pattern and outcome of hysterectomy for gynaecological conditions in ISTH, Irrua. Methods: This is a six year clinical audit of hysterectomy performed in ISTH, Irrua, between 2000-2005. Case files were retrieved from the medical record department and studied. The information on age, educational status, parity, presenting complaints, indications for surgery, types of surgery, duration of hospital stay and complications were retrieved and analysed. Results were presented in tables and simple percentages.
Results: In the six year period, 702 gynaecological operations were performed. Out of these, 85 cases of hysterectomies were done giving an incidence of 12.1%. Over seventy six per cent (76.7%) hysterectomies were done for benign conditions while 23.3% were performed for malignant conditions. Uterine fibroids were the commonest indication for hysterectomy accounting for 46.3% in this study. Majority of the women had total hysterectomy which accounted for 98.7% while 1.3% women had subtotal hysterectomy. The incidence of vaginal hysterectomy was 18.7% and that of abdominal hysterectomy was 82.3% in this study. Vaginal hysterectomy has less complication compare to abdominal hysterectomy. The only complication observed in vaginal hysterectomy was vault haematoma which accounted for 1.3% of all the complications.
Conclusion: In conclusion, the incidence of hysterectomy in ISTH, Irrua is 12.1% and uterine fibroids are the commonest indication for hysterectomy. Though vaginal hysterectomy is associated with less morbidity, abdominal hysterectomy remains the commonest route both for benign and malignant gynaecological conditions.
Aim: The aim of the study is to determine the pattern and outcome of hysterectomy for gynaecological conditions in ISTH, Irrua. Methods: This is a six year clinical audit of hysterectomy performed in ISTH, Irrua, between 2000-2005. Case files were retrieved from the medical record department and studied. The information on age, educational status, parity, presenting complaints, indications for surgery, types of surgery, duration of hospital stay and complications were retrieved and analysed. Results were presented in tables and simple percentages.
Results: In the six year period, 702 gynaecological operations were performed. Out of these, 85 cases of hysterectomies were done giving an incidence of 12.1%. Over seventy six per cent (76.7%) hysterectomies were done for benign conditions while 23.3% were performed for malignant conditions. Uterine fibroids were the commonest indication for hysterectomy accounting for 46.3% in this study. Majority of the women had total hysterectomy which accounted for 98.7% while 1.3% women had subtotal hysterectomy. The incidence of vaginal hysterectomy was 18.7% and that of abdominal hysterectomy was 82.3% in this study. Vaginal hysterectomy has less complication compare to abdominal hysterectomy. The only complication observed in vaginal hysterectomy was vault haematoma which accounted for 1.3% of all the complications.
Conclusion: In conclusion, the incidence of hysterectomy in ISTH, Irrua is 12.1% and uterine fibroids are the commonest indication for hysterectomy. Though vaginal hysterectomy is associated with less morbidity, abdominal hysterectomy remains the commonest route both for benign and malignant gynaecological conditions.
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