Publication:

A six year review of hysterectomy for benign gynaecological conditions at the Federal Medical Centre, Owerri

Background Hysterectomy is one of the commonest major gynaecological surgeries performed for both benign and malignant conditions. Hysterectomy for benign gynaecological conditions is usually done to improve the quality of life of women who suffer from these disorders. Aim of current study was to analyze hysterectomies performed in the centre for benign gynaecological conditions during the period of the study.

Methods This was a retrospective descriptive study of all cases of hysterectomy (for benign gynaecological disorders over a 6 year period (January 1, 2006 - December 31, 2011) at Federal Medical Centre, Owerri. Information on socio-demographic characteristics, clinical presentation, indication for surgery, type of hysterectomy, operative findings, and postoperative complications during admission were retrieved and analyzed.

Results Hysterectomy for benign gynecological conditions accounted for 14.1% of all major gynecological surgeries. The leading indications for hysterectomy were uterovaginal prolapse (47.3%), uterine fibroid (33.6%), and dysfunctional uterine bleeding (DUB) (9.1%). Abdominal hysterectomy accounted for 55.0% while vaginal hysterectomy accounted for 45.0% of hysterectomies performed for benign gynecological conditions. A post-operative morbidity rate of 23.7% was found. Post-operative fever, requiring investigation and treatment, was the leading complication. No mortality associated with hysterectomy was recorded.

Conclusions Hysterectomy for benign gynaecological conditions is relatively common and safe in our centre, but there is need for improvement on the high post-operative morbidity rate.