PREVALENCE, INDICATION, TYPE AND COMPLICATION OF ELECTIVE HYSTERECTOMY IN A TERTIARY HOSPITAL IN ETHIOPIA

Abstract

ABSTRACT

BACKGROUND: Hysterectomy is a surgical removal of the uterus. It is one of the commonly performed
surgical procedures worldwide. In obstetric and gynecologic context, it is the second to cesarean section. The
aim of this study was to analyze the rate, indications, complications, and type of elective hysterectomy in Ayder
comprehensive specialized hospital.
METHODOLOGY: Retrospective study of all women for whom elective hysterectomy was done from January
2009-December 2016 in Ayder Comprehensive Specialized Hospital.
RESULTS: A total of 385 elective hysterectomies were done out of 1058 major gynecologic surgeries during
the study period. This makes a rate of hysterectomy of 36.4%. Majority of the cases were in the age group of 41-50
years (31.6%) with the mean age of 47.5 years. The leading indication for elective hysterectomy was uterovaginal
prolapse184 (57.3%), followed by leiomyoma 48 (15%) and ovarian tumor 47(14.6%). Vaginal hysterectomy was the
commonest route of surgery 159(49.5%) followed by total abdominal hysterectomy (TAH) 75(23.4%). Half of the
patients who had elective hysterectomy had pain during their hospital stay and 36.4 % of them were anemic after
the operation.
CONCLUSION: The rate of elective hysterectomy was 36.4% of all major gynecologic surgeries during the
study period and more than half the indication was done for uterovaginal prolapse. Post-operative surgical site pain
was the most common complication identified in about half of the cases during the study period.
KEY WORDS: Total abdominal hysterectomy, vaginal hysterectomy, Uterovaginal Prolapse, Leiomyoma,
Ovarian tumor