A 4-Year Clinical Review of Elective Hysterectomies at a University Teaching Hospital in Lagos, Nigeria

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Okunade, KS
Sekumade, A
Daramola, E
Oluwole, AA
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Objective: The aim of this research was to determine the types, indications, and operative outcomes of elective hysterectomies at the Lagos University Teaching Hospital (LUTH), in Lagos, South West, Nigeria. Design: This was a descriptive retrospective study of hysterectomies performed at LUTH from January 1, 2008, to December 3, 2012. Materials and Methods: Case notes of patients undergoing elective hysterectomy were retrieved from the hospital’s records department, and relevant information was extracted. Collation and analysis of data were performed, using the Epi Info statistical software package, version 7.2. Results: Hysterectomies accounted for 9.4% of all gynecologic surgical procedures. The mean age and parity of the studied women was 49.9 – 7.7 years and 3.74 – 1.57, respectively. Total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH/BSO) was the most commonly performed (50.8%), and vaginal hysterectomy (VH) (14.5%) was the least performed. There was a rising trend in the number of TAH/BSOs (7%) and radical hysterectomies (RHs; 25%), with a 40% reduction in the number of VHs performed over the study period. General anesthesia was most commonly preferred anesthetic technique (66.7%), while uterine fibroids were the most common indication for hysterectomy. The mean units of blood transfused were 2.2 – 1.5 units, and the mean days of postoperative admission was 8.0 – 4.9 days. Conclusions: There is an urgent need to fortify postgraduate specialist training as a way to improve the skills of future gynecologists so they can perform procedures such as VH to improve the overall outcome for Nigerian women undergoing hysterectomy.
Scholarly articles
Lagos , LUTH , Hysterectomy , Anesthetic technique , Research Subject Categories::MEDICINE::Surgery::Obstetrics and women's diseases::Obstetrics and gynaecology
Okunade KS, Sekumade A, Daramola E, Oluwole AA. A 4-Year Clinical Review of Elective Hysterectomies at a University Teaching Hospital in Lagos, Nigeria. Journal of Gynecologic Surgery. 2017: 33(5): 193-197