A six year review of hysterectomy for benign gynaecological conditions at the Federal Medical Centre, Owerri

Background: Hysterectomy is one of the commonest major gynaecological surgeries performed for both benign and malignant conditions. Hysterectomy for benign gynaecological conditions is usually done to improve the quality of life of women who suffer from these disorders. Aim of current study was to analyze hysterectomies performed in the centre for benign gynaecological conditions during the period of the study.Methods: This was a retrospective descriptive study of all cases of hysterectomy (for benign gynaecological disorders over a 6 year period (January 1, 2006 - December 31, 2011) at Federal Medical Centre, Owerri. Information on socio-demographic characteristics, clinical presentation, indication for surgery, type of hysterectomy, operative findings, and postoperative complications during admission were retrieved and analyzed.Results: Hysterectomy for benign gynecological conditions accounted for 14.1% of all major gynecological surgeries. The leading indications for hysterectomy were uterovaginal prolapse (47.3%), uterine fibroid (33.6%), and dysfunctional uterine bleeding (DUB) (9.1%). Abdominal hysterectomy accounted for 55.0% while vaginal hysterectomy accounted for 45.0% of hysterectomies performed for benign gynecological conditions. A post-operative morbidity rate of 23.7% was found. Post-operative fever, requiring investigation and treatment, was the leading complication. No mortality associated with hysterectomy was recorded.Conclusions: Hysterectomy for benign gynaecological conditions is relatively common and safe in our centre, but there is need for improvement on the high post-operative morbidity rate

Association between serum chlamydial antibody levels and tubal infertility in tertiary health facility in South-East Nigeria: a case-control study

Objectives: This study evaluates the association between genital Chlamydial infection and tubal factor infertility in a tertiary health facility in South-East Nigeria.Design: This was a case-control analytical study.Setting: Gynaecology Clinic and Maternity Unit of the Department of Obstetrics and Gynaecology of the Federal Medical Centre (FMC), Owerri, Imo State, Nigeria.Participants: Ninety-six (96) women with confirmed tubal factor infertility served as the cases, and 96 women with normal intra-uterine pregnancy matched in age served as the control.Data Collection/Intervention: A structured questionnaire was used to extract information on the sociodemographic data and the sexual history of the participants. About 2mls of blood was collected, the blood was allowed to clot, and the sera were used for the test.Statistical analysis/Main outcome measure: Pearson Chi-square, Fisher’s exact test, likelihood ratio and multivariate logistic regression were used to determine risk associations and identify factors independently related to tubal factor infertility. P-value < 0.05 was considered significant.Results: The sociodemographic characteristics of both cases and control did not differ (P = 0.975). The Chlamydial antibody seropositivity was significantly higher in the cases than the control 78(81.2%) versus 13(13.5%) respectively {(P < 0.001; OR (95% CI) = 27.7(12.7-60.2)}. Only lower abdominal pain {(P = 0.011); OR (95% CI) = 4.3(1.4-13.3)}; was independently associated with tubal factor infertility.Conclusion: Tubal factor infertility is strongly associated with chlamydial IgG antibodies, and a history of lower abdominal pain significantly predicted tubal factor infertility