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

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.