Year : 2020 | Volume
: 37 | Issue : 1 | Page : 160--166
Trends in vaginal hysterectomy in a Nigerian teaching hospital: A 14-year review
Emeka P Igbodike, Clement A Adepiti, Akaninyene E Ubom, Kayode O Ajenifuja, Olabisi M Loto, Olusola B Fasubaa, Uche Onwudiegwu, Okechukwu E Orji
Department of Obstetrics, Gynaecology, and Perinatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Background: The procedure of vaginal hysterectomy is a fast disappearing art. This study looks at 14 years' experience of vaginal hysterectomy in Ile-Ife, Nigeria.
Objectives: To determine and compare the rate, indications, and complications of vaginal hysterectomy over a 14-year period at Ile-Ife, Nigeria.
Methods: The medical records of patients managed with vaginal hysterectomies performed from 1st January 2005 to 31st December 2018 were reviewed. The demographics and indications for vaginal hysterectomy were extracted. Data were analyzed using Statistical Package for Service Solutions – IBM version 22. Frequencies and percentages were calculated and associations compared where applicable using Chi-square with level of significance set at <0.05.
Results: Pelvic organ prolapse accounted for 0.8% of gynecological admissions and vaginal hysterectomy accounted for 2.3% of major gynaecological operations. The mean age was 66.1 ± 9.2 years with a mean age of menopause of 15.2 ± 7.1 years. The mean parity was 6.2 ± 1.6. Pelvic organ prolapse was the commonest indication. The mean blood loss at surgery was 314.2 ± 184.8 ml. The modal post-operative complication was post-operative anemia, and hypertension was the commonest comorbidity. The mean duration of surgery was 3 ± 0.9 h and the mean duration of admission was 5.4 ± 2.7 days.
Conclusion: The rate of vaginal hysterectomy is on the decline. This may be due to case under reporting, limiting of family size, or low uptake of farming occupation in our society.
Dr. Emeka P Igbodike
Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State
|How to cite this article:|
Igbodike EP, Adepiti CA, Ubom AE, Ajenifuja KO, Loto OM, Fasubaa OB, Onwudiegwu U, Orji OE. Trends in vaginal hysterectomy in a Nigerian teaching hospital: A 14-year review.Trop J Obstet Gynaecol 2020;37:160-166
|How to cite this URL:|
Igbodike EP, Adepiti CA, Ubom AE, Ajenifuja KO, Loto OM, Fasubaa OB, Onwudiegwu U, Orji OE. Trends in vaginal hysterectomy in a Nigerian teaching hospital: A 14-year review. Trop J Obstet Gynaecol [serial online] 2020 [cited 2020 Nov 27 ];37:160-166
Available from: https://www.tjogonline.com/article.asp?issn=0189-5117;year=2020;volume=37;issue=1;spage=160;epage=166;aulast=Igbodike;type=0