The case records and commentaries in obstetrics and gynaecology
Abstract
Objective:
To evaluate
surgical treatment of
Mission Hospital.
Methods: A descriptive retrospective analysis of 384
hysterectomies that were performed at St.Mary's Mission Hospital
between 1st January and 31st December 2004 was undertaken.
Main outcome measures: Indications for hysterectomy, types of
hysterectomies, pre-operative investigations, intra-operative and
post-operative complications, histo-pathological findings and
validation of hysterectomy indication by histo-pathological
confirmation.
the use of hysterectomy
gynaecological conditions
as a mode of
at St. Mary's
Results: Out of the 384 hysterectomies done about 66% (n=253)
-weredue to symptomatic uterine fibroids, about 10% (n=38)were
due to adnexal masses and about 6% (n=25)were due to cancer of
the cervix. Hysterectomies were performed abdominally in about
99% (380/384) of the cases, while about 1% (4/384) were done
vaginally. Of the abdominal hysterectomies, about 79% (303/380)
were total abdominal hysterectomies, about 10% (40/380)were subtotal
hysterectomies, and about 9% (37/380) were extended
hysterectomies. Only about 4% (16/351) of patients had a
Papanicolaou smear prior to surgery. Of the 384 patients, about
1% (n=5) and 4% (n=17) had a peri-operative and post-operative
complication respectively.Of the 348 hysterectomies performed for
histologically verifiable indications, about 85% (297/348) were
validated.
Conclusion:
Hysterectomy as a mode of surgical treatment for
gynaecological conditions at St. Mary's Mission Hospital was
justified as the morbidity and mortality were within
international figures and the operative indications were
validated inmajority of the cases
Citation
M.Med (Obstetrics and Gynaecology) ThesisSponsorhip
University of NairobiPublisher
Department of Medicine, University of Nairobi
Description
Master of Medicine