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Total abdominal hysterectomy for benign gynaecological conditions at a University Teaching Hospital in Nigeria.
Niger J Med. 2012 Jul-Sep; 21(3):326-30.NJ

Abstract

BACKGROUND

Hysterectomy is one of the most commonly performed major gynaecological procedures in women. Total abdominal hysterectomy (TAH) for benign disorders is commonly performed in Jos University Teaching Hospital and this study aimed at ascertaining its frequency in relation to other major gynaecological operations, demographic features of the patients, indications and safety of the procedure in this institution.

MATERIALS AND METHODS

A retrospective descriptive study of consecutive patients who had elective total abdominal hysterectomy performed for various benign indications during the study period from January 2001 to December 2008 was conducted. Data extracted from the case files included age, parity, presenting symptoms, indications for the surgery, intraoperative findings and post-operative complications. Data was analysed with 2008 EPI-info version 3.5.1.

RESULTS

Total abdominal hysterectomy accounted for 18.2% of all major gynaecological operations. Majority of the women were in their fifth decade of life (65.9%) and parity of five and above (46.4%). The most common indications were uterine fibroid with or without menorrhagia (60.6%) and cervical intraepithelial neoplasia (27.0%). Post-operative morbidity was recorded in 40 (17.7%) of cases. Post-operative wound infection (52.5%) and fever (30.0%) accounted for the majority of the complications. There was no mortality.

CONCLUSIONS

Total abdominal hysterectomy for benign conditions is relatively common and safe in this centre. The review of the antibiotic regimes for chemoprophylaxis may help in reducing the post-operative infection rate associated with the operation.

Authors+Show Affiliations

Anzaku AS
Department of Obstetrics and Gynaccology, College of Health Sciences, Bingham University, Jos campus, Jos, Nigeria. steveanzaku@gmail.com
Musa J
No affiliation info available

MeSH

AdultCervical Intraepithelial NeoplasiaFemaleFeverHumansHysterectomyLeiomyomaMenorrhagiaMiddle AgedNigeriaOvarian CystsRetrospective StudiesSurgical Wound InfectionTissue AdhesionsUterine Cervical NeoplasmsUterine Neoplasms

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23304930

Citation

Anzaku, A S., and J Musa. "Total Abdominal Hysterectomy for Benign Gynaecological Conditions at a University Teaching Hospital in Nigeria." Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria, vol. 21, no. 3, 2012, pp. 326-30.
Anzaku AS, Musa J. Total abdominal hysterectomy for benign gynaecological conditions at a University Teaching Hospital in Nigeria. Niger J Med. 2012;21(3):326-30.
Anzaku, A. S., & Musa, J. (2012). Total abdominal hysterectomy for benign gynaecological conditions at a University Teaching Hospital in Nigeria. Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria, 21(3), 326-30.
Anzaku AS, Musa J. Total Abdominal Hysterectomy for Benign Gynaecological Conditions at a University Teaching Hospital in Nigeria. Niger J Med. 2012 Jul-Sep;21(3):326-30. PubMed PMID: 23304930.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total abdominal hysterectomy for benign gynaecological conditions at a University Teaching Hospital in Nigeria. AU - Anzaku,A S, AU - Musa,J, PY - 2013/1/12/entrez PY - 2013/1/12/pubmed PY - 2013/2/27/medline SP - 326 EP - 30 JF - Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria JO - Niger J Med VL - 21 IS - 3 N2 - BACKGROUND: Hysterectomy is one of the most commonly performed major gynaecological procedures in women. Total abdominal hysterectomy (TAH) for benign disorders is commonly performed in Jos University Teaching Hospital and this study aimed at ascertaining its frequency in relation to other major gynaecological operations, demographic features of the patients, indications and safety of the procedure in this institution. MATERIALS AND METHODS: A retrospective descriptive study of consecutive patients who had elective total abdominal hysterectomy performed for various benign indications during the study period from January 2001 to December 2008 was conducted. Data extracted from the case files included age, parity, presenting symptoms, indications for the surgery, intraoperative findings and post-operative complications. Data was analysed with 2008 EPI-info version 3.5.1. RESULTS: Total abdominal hysterectomy accounted for 18.2% of all major gynaecological operations. Majority of the women were in their fifth decade of life (65.9%) and parity of five and above (46.4%). The most common indications were uterine fibroid with or without menorrhagia (60.6%) and cervical intraepithelial neoplasia (27.0%). Post-operative morbidity was recorded in 40 (17.7%) of cases. Post-operative wound infection (52.5%) and fever (30.0%) accounted for the majority of the complications. There was no mortality. CONCLUSIONS: Total abdominal hysterectomy for benign conditions is relatively common and safe in this centre. The review of the antibiotic regimes for chemoprophylaxis may help in reducing the post-operative infection rate associated with the operation. SN - 1115-2613 UR - https://www.unboundmedicine.com/medline/citation/23304930/Total_abdominal_hysterectomy_for_benign_gynaecological_conditions_at_a_University_Teaching_Hospital_in_Nigeria_ DB - PRIME DP - Unbound Medicine ER -