Clinical Audit of Hysterectomy in Rasheed Shekoni Federal University Teaching Hospital Dutse, North-West Nigeria

Abstract

Background: Hysterectomy is a major and common gynecological procedure that involves the removal of the uterus for benign or malignant indications. The rate of hysterectomy varies from one region to another. Objective: To determine the prevalence, indications and clinical outcome of hysterectomy at Rasheed Shekoni Federal University Teaching Hospital. Materials and methods: The study was a 3-year retrospective review of hysterectomies, carried out between 1st July 2020 and 31st June 2023. Data analysis was carried out using IBM SPSS version 26. Measured variables were expressed in percentage. Test for association was done using chi-square, setting P-value at <0.05. Results: A total of 56 hysterectomies were performed out of a total of 232 gynecological surgeries, giving a rate of 24.14%. The mean age was 51.72±12.2 years. The mean parity was 5.28±3.3. The rate of hysterectomy was highest (34.0%) among women aged 40 – 49 years. The commonest (29.8%) procedure was vaginal hysterectomy. The commonest (29.8%) indication for hysterectomy was utero-vaginal prolapse. The mean blood unit transfused was 1.2±1.2 units. The mean post-operative admission was 5.23± 2.2 days. Conclusion: Pelvic organ prolapse is the leading indication for hysterectomy and vaginal hysterectomy is the most common type of hysterectomy performed.