An Audit of Vaginal Hysterectomies in Enugu, Nigeria
AbstractBackground: There is scanty data on vaginal hysterectomy in Nigeria
Objective: To determine the rate, indications and complications of vaginal hysterectomy as seen in a Nigerian tertiary care centre.
Methods: A retrospective review of vaginal hysterectomies performed at the University of Nigeria Teaching Hospital, Enugu, Nigeria, over a six year period (1995-2000).
Results: There were 13 vaginal hysterectomies per 1000 gynaecological operations. Genital prolapse was the only indication for the 84 vaginal hysterectomies performed during the study period. Moderate to severe intrapelvic adhesions were found in 4 (4.8%) of the patients. The uterine size was less than 12 weeks gestation size in all the 84(100%) cases. Incidental operations were anterior colporrhaphy in all the 84 (100%) cases and posterior colporrhaphy in 25 (29.8%) of the subjects. Bilateral oophorectomy was done in 5 (6.0%) and unilateral oophorectomy in 3 (3.6%) of the women. Complications were recorded in 15 women, giving a complication rate of 17.9%. Urinary tract infection was the commonest complication.
Conclusion: Vaginal hysterectomy rate in Enugu, Nigeria is lower and the indications for the operation more limited than in the United States of America and Western Europe.
Key Words: Vaginal hysterectomy, rate, indications, complications, Nigeria
[Trop J Obstet Gynaecol, 2004;21:58-60].
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