An audit of gynaecological hysterectomies in the university of Uyo teaching hospital: Case for non-descent vaginal hysterectomy

Abstract

Hysterectomy is the commonest gynaecological surgery. The study aimed to determine the rates and compare the outcomes of the different routes, and ascertain the visibility of an option. A 5-year retrospective study of all hysterectomies at the University of Uyo teaching hospital: their routes and associated morbidities; and assess the possibility of the vaginal route in total abdominal hysterectomies using a checklist designed for the study. 116 hysterectomies accounted for 27.9% of major gynaecological surgeries. 107 (92.2%) were for benign gynaecological conditions. Twenty-six (22.41%) hysterectomies were vaginal with uterovaginal prolapse as the sole indication. The peak age range of women who had vaginal hysterectomy was 50-59 years (46.2%), mean, 53.8years. Vaginal hysterectomy was associated with fewer complications, X 2 /P-value of 16,091/0.01.6. Twenty-nine (35.80%) total abdominal hysterectomies could have been carried out vaginally. There was under-utilisation of the vaginal route even in the absence of major contraindications to it. There is therefore an urgent need for a survey amongst gynaecologist to investigate the reasons for restrictive use of vaginal hysterectomy especially non descent procedures.

Audit on gynecological surgeries in AL-Zahraa University Hospital in year 2017

“…In the present study, it was found that abdominal hysterectomy was more frequent than vaginal hysterectomy and total abdominal hysterectomy with bilateral salpingooophorectomy was the most common subtype of hysterectomy.The present study agrees with the study done by Bhat et al [12] that showed that TAH percentage was (76.6%) of total hysterectomies operations included in their study while STAH percentage was (4%). Gabriel et al [13] showed thatmajority of hysterectomies were carried out via the abdominal route, while the vaginal route constituted only 22.4%. This rate of vaginal hysterectomy was similar to 21% found in Obiechina et al [14] .…”