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Indications and Outcome of Gynaecological Hysterectomy at Aminu Kano Teaching Hospital, Kano: A 5-Year Review

By Zainab Datti Ahmed


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 out-come 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, constitut-ing 66.4 % of all hysterectomies. Total abdominal hysterectomy was the most frequently pre-formed, accounting for 78.1 % while, vaginal hysterectomy accounts for 20.9 % of cases and sub-total 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%

Year: 2016
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