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Sep 24, 2023Keywords:
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Total abdominal hysterectomy at the Central Hospital, Warri: a five year review
Abstract
Background:Hysterectomy is a common gynaecological surgical procedure which improves womens's quality of life.
Objectives: To determine the indications and complications of Total abdominal hysterectomy (TAH) at the Central Hospital, Warri (CHW).
Materials and Methods: This was a retrospective descriptive study of TAH performed at the CHW from 1st January 2007 to 31st December 2011. Medical records of all patients that had TAH were reviewed.
Results: Two hundred and thirty six patients had TAH. It constituted 11.6 % of all gynaecological surgeries at the CHW. The mean age was 44.78 ± 1.28 years. The mean parity was 3.79 ± 1.08. Uterine fibroids accounted for majority of cases (66.1%). About 54.2% of patients had TAH with bilateral salpingooophorectomy (BSO). Fifty patients (21.2%) had complications. Wound sepsis/breakdown, anaemia, prolonged hospital stay, urinary tract infection and pyrexia were the common morbidities.
Conclusion: The indications for, and surgical outcome following TAH is comparable to that from other public hospitals across the country
