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Abdominal Hysterectomy for Benign Gynaecological Conditions at Ibadan, Nigeria
Abstract
Objective: To determine the indications for and the pattern of morbidity and mortality in abdominal hysterectomy done for benign conditions over a 10-year period.
Study Design: A retrospective study of all cases of abdominal hysterectomy for benign conditions over a ten-year period.
Main Outcome Measures: The relative proportion of cases of abdominal hysterectomy compared to the total number of operations, the prevalence of various peri- and post-operative complications or mortality.
Results: Total abdominal hysterectomy accounted for 10.2% of all major gynaecological operations during the study period. The indication was uterine fibroids in 82% of cases done for benign indications. The crude morbidity rate was 31% and there was no mortality.
Conclusion: In spite of advanced pathology, abdominal hysterectomy for benign conditions is a fairly safe procedure in UCH Ibadan. There is a need to further reduce the high morbidity rate associated with the procedure especially the use of peri-operative antibiotic prophylaxis.
(Tropical Journal of Obstetrics and Gynaecology, 2001, 18(1): 19-23)
