Morbidity of total abdominal hysterectomy at the University of Maiduguri Teaching Hospital, Maiduguri, Nigeria

Geidan DA, Audu BM, Bukar

Available online Jul 14, 2018.

[ Original ] Volume 19, Issue 4, 2010, Pages 467-470


Abstract

Background: Total abdominal hysterectomy is a
commonly performed gyneacological procedure.
Although it is safe, it can still be associated with
development of complication. The aim of this study was
to determine morbidity associated with total abdominal
hysterectomy in our environment.
Method: All cases of total abdominal hysterectomy
done over a five-year period (January 2003 December
2006) at the University of Maiduguri Teaching Hospital
(UMTH) were reviewed.
Information was obtained from the patients' case notes,
gynaecology ward, and theatre records. The
complications of the procedure were determined.
Multiple logistic regression was used to find the factors
that were independently associated with development
of complications.
Results: During the study there were 101 cases of total
abdominal hysterectomy out of 729 gynaecological
operations, a rate of 13.8%. In majority of the cases
56(68.3%) the indication of the hysterectomy was
uterine fibroid (symptomatic). Overall 37(45.1%)
experience some form of complication out of which
26(70.3%) was febrile morbidity. Finding enlarged
uterus intraoperatively {OR(95%CI)= 14.5(1.84-114.6),
p=0.011}, blood transfusion {OR(95%CI)= 31.1(1.35-
718.8), p=0.032}and postoperative PCV <30%
{OR(95%CI)= 9.63(1.14-81.3) p=0.037}were found to
be significantly associated with development of
complication.
Conclusions: Total abdominal hysterectomy was
associated with development of complications and
enlarged uterus, increasing parity independent risk
factors for development of the complication


Keywords

Total abdominal hysterectomy, Indications, Complications, UMTH.,

October - December 2010

Volume 19 | Issue 4

Page Nos. 467-470

Online since Jul 13, 2018

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