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

dc.contributor.authorOkunade, KS
dc.contributor.authorSekumade, A
dc.contributor.authorDaramola, E
dc.contributor.authorOluwole, AA
dc.date.accessioned2022-01-11T13:54:05Z
dc.date.available2022-01-11T13:54:05Z
dc.date.issued2017
dc.descriptionScholarly articlesen_US
dc.description.abstractObjective: 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.en_US
dc.identifier.citationOkunade 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): 193-197en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/10098
dc.language.isoenen_US
dc.subjectLagosen_US
dc.subjectLUTHen_US
dc.subjectHysterectomyen_US
dc.subjectAnesthetic techniqueen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgery::Obstetrics and women's diseases::Obstetrics and gynaecologyen_US
dc.titleA 4-Year Clinical Review of Elective Hysterectomies at a University Teaching Hospital in Lagos, Nigeriaen_US
dc.typeArticleen_US
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