International Journal of Medicine and Health Development

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

Hyacinth E. Onah, Hyginus U. Ezegwui


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]

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