TITLE:
Indications and Outcome of Gynaecological Hysterectomy at Aminu Kano Teaching Hospital, Kano: A 5-Year Review
AUTHORS:
Zainab Datti Ahmed, Nafi’ah Taiwo
KEYWORDS:
Prevalence, Indication, Hysterectomy, Outcome, AKTH
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.5,
May
27,
2015
ABSTRACT: Background: Hysterectomy, is a common
operation worldwide. It is a major surgery, which leads to significant
morbidity and mortality, hence, there must be a justifiable indication before
the procedure is undertaken. Symptomatic uterine fibroid and utero-vaginal
prolapse are common indications in this environment. Objectives: To determine
the prevalence, indications and outcome of hysterectomy at Aminu Kano Teaching
Hospital, Kano. Study Design: A retrospective study of all the hysterectomies
that were done in Aminu Kano Teaching Hospital, Kano between 1st of Jan 2009
and 31st of Dec 2013. Result: During the period of study, there were 3843 major
gynaecological operations. Out of which hysterectomy was 196, giving
hysterectomy rate of 5.1% of all major gynaecological operations. Hysterectomy
was highest among patient aged 40 - 49 years accounting for 54.6% of cases and
the commonest indication was uterine fibroid, constituting 66.4% of all
hysterectomies. Total abdominal hysterectomy was the most frequently preformed,
accounting for 78.1% while, vaginal hysterectomy accounts for 20.9% of cases
and subtotal hysterectomy was 1%. Hysterectomy was mostly complicated with
post-operative pyrexia constituting 24% of all the complications while ureteric
injury was the least, constituting 1%. There was no mortality recorded. Most of
the patients who had hysterectomy were discharge in less than 10th
post-operative day accounting for 91.3% of cases. However, 80.5% of patients
who had vagina hysterectomy were discharge in less than 5th post-operative day.
Conclusion: The prevalence of hysterectomy was 5.1%. Uterine fibroid was the
commonest indication while post-operative pyrexia was the commonest
complication found.