PROMOTING ACCESS TO AFRICAN RESEARCH

International Journal of Medicine and Health Development

Log in or Register to get access to full text downloads.

Remember me or Register



DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Increasing The Use Of The Vaginal Route For Hysterectomy In Nigerians: A critical appraisal

Hyacinth E. Onah, Hyginus U. Ezegwui

Abstract


Aim: To critically assess the proportion of the abdominally performed hysterectomies that could have been done vaginally.


Patient and Methods: A retrospective chart review of 283 elective hysterectomies performed at the University of Nigerian Teaching Hospital, Enugu, over a 5- year period was undertaken.


Results: The ratio of elective abdominal to vaginal hysterectomy during the period was 2:4:1. Vaginal route was used exclusively for genital prolapse while the abdominal route was used for all the other indications. There was a high incidence of moderate to severe intrapelvic adhesions associated with uterine fibroids, making a case against the use of vaginal route in such cases.


Conclusion: It is feasible to reduce the ratio of abdominal to vaginal hysterectomy employing the vaginal route in small sized fibroids and other benign uterine conditions.


Key words: Abdominal Hysterectomy; Vaginal Hysterectomy, Indications.


[Jnl of College of Medicine Vol.7(1) 2002: 13-15]



AJOL African Journals Online