Hysterectomies at the Conakry university hospitals: social, demographic, and clinical characteristics, types, indications, surgical approaches, and prognosis

Baldé, I; Sy, Telly; Diallo, Boubacar; Diallo, Yoro; Mamy, M.N.; Diallo, M.; Bah, E. M.; Diallo, Thierno Amadou; Keita, Namory

doi:10.1684/mst.2014.0339

Cited by 7 publications

(9 citation statements)

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“…Baldé et al also had the same observation that the operative follow-up was uncomplicated in 63.8% of the cases. 11 No deaths were observed during 2 years, comparable to those of Mahbouli et al in Tunisia who recorded no deaths in their A series of 219 patients. 4 The literature data report a lethality of less than 1%.…”

Section: Resultssupporting

confidence: 81%

“…According to parity, reveals in this type of pathology that nulliparous women was 38.6% of which were the most affected in this study compared to multiparous women (15.8%) which was comparable to what Baldé IS et al in Guinea Nulliparous women (32.8%) were the most affected in their study. 11 Nulliparous women are more exposed to this pathology compared to multiparous women, which supports, according to numerous studies, the parity-fibroid association which highlights the protective character of multiparity against the appearance of uterine myomas. [13][14] It is found that most women with uterine fibroids were nulliparous and that the risk of fibroids decreases with the parity number, so the pregnancy can be considered as a protective factor against uterine fibroids or uterine fibroids is a cause of subfertility Most of present population had a history of spontaneous miscarriage (36.6%).…”

Section: Resultssupporting

confidence: 66%

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Epidemiological, clinical and therapeutic profile of uterine fibroids at the Befelatanana University hospital centre of obstetric gynecology of Antananarivo, Madagascar

Rainibarijaona

Romuald

Andriamaro

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Leiomyomas or fibromyomas more commonly referred as uterine fibroids are the most common tumors of the female genital tract. They affect 20 to 25% of women in genital activity. The objective of present study is to describe the epidemiological and therapeutic profile of uterine fibroids at the UHCOBG.Methods: Retrospective and descriptive cross-sectional study of patients with uterine fibroids hospitalized in the department of gynecology of the UHCOBG between January 2015 and December 2016.Results: In total, 101 cases of uterine fibroids have been identified with a prevalence of 3.92%. The average age is 42.75±3.6 years old. The most affected age group varies from 35 to 45 years old. Thirty-eight-point six percent of the patients were pauciparous. The medical history of irregular menstrual cycle disorders was present in 17.8% of the cases. The symptomatology was dominated by menometrorrhagia (78.2%) and in 67.3% of the cases, patients had anemia. The majority of patients (64.4%) had poly-myomatous uterus which fibroid location was predominantly corporeal (92.1%), isthmic (21.8%), and three quarters of the mapping was interstitial. Complications were dominated by aseptic necrobiosis (7.9%) and conservative treatment in 68.3% of the cases. Laparotomy is the pillar of a surgical treatment. The duration of hospitalization was short in 77.2% of the cases, 91.1% had a good progress and no death was noticed during 2 years.Conclusions: This is the first operative indication of all gynecological pathologies in present UHC and proves to be a real public health problem. The development of operative laparoscopy is necessary to reduce the morbidity associated with treatment.

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Section: Resultssupporting

confidence: 81%

Section: Resultssupporting

confidence: 66%

Epidemiological, clinical and therapeutic profile of uterine fibroids at the Befelatanana University hospital centre of obstetric gynecology of Antananarivo, Madagascar

Rainibarijaona

Romuald

Andriamaro

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“….51% of married in our study, lower than those of Nassau [19] and Balde [17] who reported respectively 82.30% and 75.7% in their series. Multiparity accounted 37.74%, a similar result to that of Balde or 33% [17] [19]. Most of the patients (60.38%) had an informal activity.…”

Section: Resultscontrasting

confidence: 76%

African Woman Sexuality: Assessment after Hysterectomy for Uterine Benign Disorders Based on Two Scales; PISQ 12/DFSI

Abdoul¹,

Aka²,

Fanny³

et al. 2018

OJOG

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Background: Several authors are studying sexual activity of hysterectomies women. However, the review of literature reveals few data in sub-Saharan Africa on the psychological and sexual impact of this treatment option. Objective: To assess sexual activity and sexual satisfaction of women after hysterectomy for benign disorders. Methods: Single center analytical study based on patient opinion. It was conducted in a five-year period: from January 2012 to December 2016 at the Yopougon teaching Hospital. 53 patients who answered two questionnaires, on sexuality by Pelvic organ prolapse-urinary Incontinence Sexual Questionnaire (PISQ-12) and sexual satisfaction by Derogatis Sexual Functioning Inventory (DSFI). Results: Hysterectomy accounted for 15.9% of gynecological surgical activities. Hysterectomy for benign pathology accounted for 3.3% of hysterectomies. The average age was 47.6 years old. The indications were dominated by uterine fibroid (88.68%). Hysterectomy was performed by the abdominal route in 86.79% of cases. Sexual activity was resumed in the second trimester post-operative in 69.81%. After hysterectomy, dyspareunia was reduced (p < 0.05), orgasm was more intense (p < 0.05) with a greater sexual satisfaction (p < 0.05). Conclusion: This study shows that there is no significant difference for women's sexuality before and after hysterectomy.

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“…In Senegal, its actual frequency is poorly estimated. Also, this intervention has sparked a lot of discussion regarding its indications, approaches and complications [2]. In developing countries where this procedure has long been performed by the abdominal route, we have been witnessing for a few years a widening of the routes first with the introduction of the vaginal and laparoscopic routes.…”

Section: Introductionmentioning

confidence: 99%

Hysterectomies for Benign Utero-Adnexal Lesions: Evolution of the Approach, Indications and Results About 392 Cases Collected at the Department of Gynecology and Obstetrics of Ouakam Military Hospital, Dakar, Senegal Between 2006 and 2016

Niang¹,

Samb²,

Sow³

et al. 2022

J Obst Gynecol Surg

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Objectives: To describe the socio-demographic characteristics of the patients, to analyze the evolution of the approach, the indications, the characteristics of the procedure (type of anesthesia, surgical procedure, per and postoperative complications, associated gestures, blood transfusion And duration of hospitalization) according to the approach and to specify the results of the hysterectomy for benign utero-adnexal lesions. Materials and methods: This was a retrospective, descriptive and analytical study of the hysterectomies performed for benign utero-adnexal lesions at the Department of Obstetrics and Gynecology of the Ouakam Military Hospital over a period of 11 years from 1st January 2006 to December 31st, 2016. Results: During the study period, we performed 392 hysterectomies among the 5,578 programmed gynecological surgeries, ie a frequency of 7%. There were 153 hysterectomies per laparotomy (39.03%), 222 vaginal hysterectomies (56.63%) and 17 coelio-prepared hysterectomies (4.3%). Between 2006 and 2016, laparotomy, vaginal and coelio-prepared hysterectomies rates increased from 76.9% to 23.1%, 39% to 56.6%, and 0 to 4.3%, respectively. Patients were aged 51.8 years (37-83 years) with an average parity of 5 (0-14). Indications were dominated by uterine fibroids (71.2%) in the laparotomy group, severe cervical dysplasia (36.9%) and uterine fibroids (28.8%) in the vaginal Benign endometrial disease (35.3%) and uterine fibroid disease (29.4%) in the "coelio-prepared" group. We performed 346 total interannexual hysterectomies (88.3%) and 46 total hysterectomies with bilateral adnexectomy (11.7%). The procedure was mostly spinal anesthesia (79.8%) and lasted an average of 89 minutes (45-215 minutes). The mean hemoglobin was 13.1 g/dL preoperatively and 11.1 g/dL postoperatively, a difference of 2g/dL on average. We recorded 11 intraoperative complications (2.8%). There were 6 severe haemorrhages, 3 digestive wounds and 2 bladder wounds. The duration of hospitalization was on average 4 days [2-7] and the follow-up was mostly simple (97.7%). Conclusion: This study on hysterectomies at the Military Hospital of Ouakam showed that the rate of laparotomy hysterectomies had decreased over the past decade in favor of vaginal and coelio-prepared hysterectomies. The indications for this procedure were dominated by uterine myomatosis and severe cervical dysplasia, and intraoperative complications, dominated by haemorrhages, were globally rare.

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Hysterectomies at the Conakry university hospitals: social, demographic, and clinical characteristics, types, indications, surgical approaches, and prognosis

Cited by 7 publications

References 0 publications

Epidemiological, clinical and therapeutic profile of uterine fibroids at the Befelatanana University hospital centre of obstetric gynecology of Antananarivo, Madagascar

Epidemiological, clinical and therapeutic profile of uterine fibroids at the Befelatanana University hospital centre of obstetric gynecology of Antananarivo, Madagascar

African Woman Sexuality: Assessment after Hysterectomy for Uterine Benign Disorders Based on Two Scales; PISQ 12/DFSI

Hysterectomies for Benign Utero-Adnexal Lesions: Evolution of the Approach, Indications and Results About 392 Cases Collected at the Department of Gynecology and Obstetrics of Ouakam Military Hospital, Dakar, Senegal Between 2006 and 2016

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