Hysterectomy in the Niger Delta of Nigeria: A Clinical Study of Indications and Outcome

Abhulimen Obilahi-, Isa Ayuba Ibrahim, Oyomwan Barry Omoregie
In: Greener Journal of Medical Sciences · 2013 · vol. 3(5) , pp. 160–165 · doi:10.15580/gjms.2013.5.050613600 · W2994144764
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This retrospective study analyzed 170 hysterectomies in Nigeria, finding symptomatic fibroids, ovarian tumors, and prolapse as primary indications with significant morbidity and fatality rates.

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This retrospective clinical study evaluated indications, patient characteristics, and outcomes of hysterectomies performed from 1 January 2000 to 31 December 2005 at the University of Port Harcourt Teaching Hospital in Nigeria’s Niger Delta. Among 1025 elective major gynecological surgeries, there were 170 elective hysterectomies (16.6%), with a mean patient age of 46.5 years and uterine fibroids as the leading indication (55.5%), followed by ovarian tumors (14.8%) and uterovaginal prolapse (8.4%); consultants performed 59.4% of surgeries. The study reported crude morbidity and case fatality rates of 45.45% and 3.87%, respectively. It does not explicitly discuss endometriosis or adenomyosis, and it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Most of the women in our environment abhor hysterectomy but it remains the only option in most cases in our practice of gynaecology due to late presentation when it becomes more difficult to offer a less radical management options. This study aims to evaluate the indications, clinical characteristics and management outcome in the Niger Delta of Nigeria. This is a retrospective analysis of all Hysterectomies performed from 1st January, 2000 through 31st December, 2005 at the University of Port Harcourt Teaching Hospital. There were 170 cases of elective hysterectomy out of a total of 1025 elective major gynaecological surgeries during the study period with hysterectomy prevalence of 16.6%. The mean age of the patients was 46.5 years, 21(13.55%) of the women were nulliparous. The major indications were symptomatic uterine fibroid 55.5%, ovarian tumour 14.8% and uterovaginal prolapsed 8.4%. The surgery in 92 (59.4%) patients was performed by consultants. The crude morbidity and case fatality rates was 45.45% and 3.87% respectively. Elective hysterectomy for gynaecological condition remains a valid management option in our environment. The use of peri-operative antibiotics is advised to reduce the incidence of post-operative morbidity.
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Abstract

Most of the women in our environment abhor hysterectomy but it remains the only option in most cases in our practice of gynaecology due to late presentation when it becomes more difficult to offer a less radical management options. This study aims to evaluate the indications, clinical characteristics and management outcome in the Niger Delta of Nigeria. This is a retrospective analysis of all Hysterectomies performed from 1st January, 2000 through 31st December, 2005 at the University of Port Harcourt Teaching Hospital. There were 170 cases of elective hysterectomy out of a total of 1025 elective major gynaecological surgeries during the study period with hysterectomy prevalence of 16.6%. The mean age of the patients was 46.5 years, 21(13.55%) of the women were nulliparous. The major indications were symptomatic uterine fibroid 55.5%, ovarian tumour 14.8% and uterovaginal prolapsed 8.4%. The surgery in 92 (59.4%) patients was performed by consultants. The crude morbidity and case fatality rates was 45.45% and 3.87% respectively. Elective hysterectomy for gynaecological condition remains a valid management option in our environment. The use of peri-operative antibiotics is advised to reduce the incidence of post-operative morbidity.

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