TITLE:
Indications and Prognosis of the Hysterectomy Operation in the Obstetrics and Gynecology Department at the University Teaching Hospital of Ouagadougou (UTH-YO), Burkina Faso
AUTHORS:
Ouattara Adama, Kaboré Francois Xavier Gueswendé, Sib Sansan Rodrigue, Millogo/Traoré Françoise Danielle, Ouedraogo Issa, Touré Boubakar, Ouédraogo Ali, Ouédraogo Marie Charlemagne, Thieba/Bonane Blandine
KEYWORDS:
Hysterectomy, Indications, Prognosis, Ouagadougou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.13,
December
8,
2017
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.