Indications and Prognosis of the Hysterectomy Operation in the Obstetrics and Gynecology Department at the University Teaching Hospital of Ouagadougou (UTH-YO), Burkina Faso

Abstract

Objective: To describe the indications and the prognosis of the hysterectomy operation in the obstetrics and gynecology department at the UTH-YO, Ouagadougou, Burkina Faso. Methodology: It has been a descriptive cross-sectional study over a period of 18 months from 1 January 2014 to 30 June 2015 in the obstetrics and gynecology department of the UTH-YO. The variables studied were demographics, clinical and prognostic aspects. Results: During the study period, we recorded 128 cases of hysterectomies including 20 obstetric causes (15.62%) and 108 gynecological cases (84.38%). The incidence of hysterectomy was 3 per 1000 births. Gynecological indications were dominated by uterine fibroids (47.3%), genital prolapse (20.4%), cervical dysplasia (9.3%) and functional bleeding (7.4%). Obstetric indications were dominated by uterine ruptures (60%), the postpartum haemorrhage (15%). The prognosis of obstetric indications was marked by 5 cases of bladder lesions or a morbidity rate of 3.9% and 4 deaths that to say a fatality rate of 3.1%. Conclusion: The prognosis of hysterectomies should be improved with further training of health workers in surgical techniques, the adoption of strategies to reduce maternal mortality and community awareness in attendance at health facilities.

Impact of Surgical Treatment on Quality of Life of Patients with Early-Stage Cervical Cancer: A Case Study of Two Referral Hospitals in Kenya

“…10 For instance, participants living in a bungalow or groundfloor of a multistorey building will report less mobility challenges, compared to those living in mansions or higher floors within a multistorey building. The findings of this study match those reported in Indonesia, 11 where 77.0% of females enrolled did not experience any difficulties with mobility, 83.9% were able to perform self-care activities without any problem, and two-thirds (66.7%) performed their usual activities with ease. More than half of the participants enrolled in the Indonesian study 11 experienced moderateto-severe problems in their assessment of pain or discomfort, as well as anxiety or depression.…”

Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea

“…Obstetric hysterectomy is often performed as an emergency procedure for haemostasis reasons. In gynaecology, the indications are dominated by benign or malignant tumours of the uterus [2,3]. Hysterectomy remains the most frequently performed procedure in gynaecological surgery, whatever the cause, with over 45,000 operations per year worldwide.…”