Clinico-pathological Assessment of Hysterectomies in Zaria

Oa, Samaila Modupeola; Adesiyun, Adebiyi Gbadebo; Agunbiade, O A; Mohammed-Duro, A

doi:10.29333/ejgm/82660

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…Correlation between clinical and histological pattern is important in the general management of the patients. Studies done in India, Bangladesh and Nigeria found the correlation between pre-operative clinical and histological diagnoses were 74, 77 and 95.6% respectively [11,14,15].…”

Section: Introductionmentioning

confidence: 99%

Gynecological hysterectomy in Northern Tanzania: a cross- sectional study on the outcomes and correlation between clinical and histological diagnoses

et al. 2020

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Background: Hysterectomy is one of the most common gynaecological procedures performed worldwide. The magnitude of the complications related to hysterectomy and their risk factors are bound to differ based on locations, availability of resources and level of surgical training. Documented complications rates and their correlates are reported from high income countries while data from low-and middle-income countries including Tanzania is scare. Methods: This was a hospital based cross-sectional study conducted at a tertiary facility in northern Tanzania where 178 women who underwent elective gynecological hysterectomies in the department of obstetrics and gynecology within the study period were enrolled. Logistic regression was performed to determine the association between risk factors and occurrence of surgical complication where p-value of < 0.05 was considered statistically significant. The degree of correlation between pre-operative clinical and histological diagnosis was determined by kappa correlation test. Results: A total of 75 (42%) of women had surgical complications within 10 days of surgery. Blood transfusion and intra-operative bleeding were the most common complications observed in 34 (19.1%) and 17 (9.6%) women respectively. Independent risk factors for complications included obesity (OR 3.9; 95% CI 1.44-10.46), previous abdominal operations (OR 8.44; 95% CI 2.52-28.26) and longer duration of operation (> 2 h) (OR 5.02; 95% CI 2.18-11.5). Both uterine fibroid and adenomyosis had good correlation of clinical and histological diagnosis (p-value < 0.001). Conclusion: Bleeding and blood transfusion were the most common complications observed in this study. Obesity, previous abdominal operation and prolonged duration of operation were the most significant risk factors for the complications. Local tailored interventions to reduce surgical complications of hysterectomy are thus pivotal. Clinicians in this locality should have resources at their disposal to enhance definitive diagnosis attainment before surgical interventions.

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Section: Introductionmentioning

confidence: 99%

Gynecological hysterectomy in Northern Tanzania: a cross- sectional study on the outcomes and correlation between clinical and histological diagnoses

et al. 2020

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“…18.3% of cases had cystic ovaries and 9.2% had adenomyosis. Red degeneration is due to tumour vessel thrombosis and is associated with pregnancy and contraceptive use [10,11]. Further study on a larger sample size can be conducted to increase the power of the study.…”

Section: Resultsmentioning

confidence: 99%

Clinicopathological profile of uterine fibroid at a medical college hospital

Kaushal¹,

Gupta²,

Kumar³

2020

Trop J Pathol Microbiol

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Introduction: Leiomyomas are usually asymptomatic. Symptoms may be seen depending on their size, location and hormonal effects. It is the most common uterine tumour seen in gynaecological practice. Knowledge of clinical features and histopathological changes are helpful. Methods: The present cross-sectional study included 109 cases of uterine fibroid. Clinical details and findings of histopathological examination were noted. Results: Most of the patients belonged to the age group of 50-60 years. Menstrual irregularities were seen in 71.6% of cases. 39.4% suffered from abdominal pain and infertility was seen in 11.9% cases. In 70.6% of cases, proliferative endometrium was found. Secretory endometrium was seen in 13.8% and atrophic in 10.1%. Most of the cases had intramural fibroid (58.7%). Conclusion: Hyaline degeneration, myxoid degeneration and cystic degeneration are the commonly seen secondary changes. Proper diagnosis and timely management are essential for the management of these tumours.

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“…In relation to fibromyoma, Buambo-Bamanga et al [10] in Congo Brazzaville in 2009, Yonli [7] in 2010 and Bambara in 2015 in Burkina Faso [8], Modupeola et al [14] in Nigeria in 2009 reported frequencies of 63.9%, 63.8%, 51.1% and 61.8% respectively.…”

Section: Discussionmentioning

confidence: 99%

Sexual Experience of Women after Gynecological Hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo Teaching Hospital, Burkina Faso

Somé¹,

Yaméogo²,

Ouattara³

et al. 2019

OJOG

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Objective: To study the sexual experience of women after gynecological hysterectomy in the obstetrics and gynecology department of Yalgado Ouedraogo University Teaching Hospital in Burkina Faso. Patient and Method: We conducted a cross-sectional study from October 1, 2016 to March 30, 2017. It included any patient who had a gynecological indication for a hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo University Teaching Hospital (CHU-YO) during the study period. A total of 85 patients were included. We collected information from the consultation records, clinical records, and operating room registries and by surveying the patients themselves. Result: The frequency of hysterectomy in the gynecological period was 3.9%. The mean age of the patients was 51.71 (extremes: 35 and 66 years) and the mean parity was 4.8. Married women were the majority. Fibromyoma and genital prolapse accounted for 56.47% and 23.53% respectively of operative indications. Regarding postintervention sexuality, 29.41% of women declared no longer having sexual desire. Also, they complained of vaginal dryness (31.8%), decreased frequency of orgasm (42.3%), dyspareunia (37.65). Sexual dysfunction was present in 82.35% of women. There was a statistically significant difference between global sexual functioning and geographic origin, educational attainment, socioeconomic level, surgical approach, preintervention sexual counseling, women's psychological profile and their emotional relationship with their spouses. Conclusion: The psychosexual soundness of hysterectomy is important.

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Clinico-pathological Assessment of Hysterectomies in Zaria

Cited by 5 publications

References 13 publications

Gynecological hysterectomy in Northern Tanzania: a cross- sectional study on the outcomes and correlation between clinical and histological diagnoses

Gynecological hysterectomy in Northern Tanzania: a cross- sectional study on the outcomes and correlation between clinical and histological diagnoses

Clinicopathological profile of uterine fibroid at a medical college hospital

Sexual Experience of Women after Gynecological Hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo Teaching Hospital, Burkina Faso

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