TITLE:
Hysterectomies for Gynaecological Pathology: 56 Cases at the Segou Regional Hospital in Mali
AUTHORS:
Tidiani Traoré, Famakan Kané, Abdoulaye Kassogué, Seydou Traoré, Seydou Z. Dao, Balilé Harber, Sory Diallo, Kassoun Sidibé, Brahima Donigolo, Babou Traoré, Adama Coulibaly, Abdrahamane Diarisso, Alima Sidibé, Mamadou Sima, Augustin Théra, Youssouf Traoré, Ibrahima Teguété, Niani Mounkoro
KEYWORDS:
Hysterectomy, Gynaecological, Pathology, Mali
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.9,
September
13,
2024
ABSTRACT: Introduction: Hysterectomy is a surgical procedure involving partial or total removal of the uterus. It is the most common gynaecological surgery in the world. Objective: To describe the epidemio-clinical and prognostic aspects of gynaecological hysterectomies. Patients and methods: This was an 18-month retrospective prospective descriptive study with a six-month follow-up period from 1 December 2020 to 31 May 2022 carried out in the gynaecology department of the Segou regional hospital. Results: Fifty-six (56) hysterectomies were performed out of 118 gynaecological surgical procedures (47.45%). The mean age was 47 ± 11.77 years. Large multiparous women were the most common (50%), with an average parity of 4.58. The main indications were uterine fibroids (30.4%), precancerous lesions of the cervix (17.85%) and uterine prolapse (17.85%). The abdominal route was the most commonly used surgical route (82.14%). Hysterectomy was total in 100% of cases and associated with bilateral adnexectomy in 48.2% of cases. The intra- and post-operative prognosis was satisfactory in 94.6% of cases. No deaths were recorded. The average length of stay was 3.28 days, irrespective of the surgical approach. Three cases of dyspareunia were noted among those who had resumed sexual activity.