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.
Highlights
Hysterectomy is a major gynaecological operation for the removal of uterus with or without the adnexal structures
Total abdominal Hysterectomy involves removal of uterus and cervix through an abdominal incision but subtotal hysterectomy is the removal of uterus through abdominal incision while sparing the cervix [5]-[9]
It is not a procedure that is readily accepted by our patients as a result of the premium attached to large family size and women who had hysterectomy are generally stigmatized
Summary
Hysterectomy is a major gynaecological operation for the removal of uterus with or without the adnexal structures It is a common procedure in the United Kingdom, and United State of America [1]. Radical hysterectomy is extensive surgery that in addition to removal of uterus and cervix, might include removal of lymph nodes, loose areolar tissue near major blood vessels, upper vagina and omentum [5]-[9]. This is mainly done for malignant cases [5]-[9]. Uterine fibroid was the commonest indication while postoperative pyrexia was the commonest complication found
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