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Year : 2002  |  Volume : 7  |  Issue : 1  |  Page : 13-15

Increasing the use of the vaginal route for hysterectomy in Nigerians: A critical appraisal

Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria

Correspondence Address:
Hyacinth E Onah
Dept. of Obstetrics and Gynaecology, U.N.T.H., Enugu
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Source of Support: None, Conflict of Interest: None

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Aim: To critically assess the proportion of the abdominally performed hysterectomies that could have been done vaginally. Patients and Methods: A retrospective chart review of 283 elective hysterectomies performed at the University of Nigeria Teaching Hospital, Enugu, over a 5-year period, was undertaken. Results: The ratio of elective abdominal to vaginal hysterectomy during the study period was 2.4:1. Vaginal route was used exclusively for genital prolapse while the abdominal route was used for all the other indications. There was a high incidence of moderate to severe intrapelvic adhesions associated with large uterine fibroids, making a case against the use of vaginal route in such cases. Conclusion: It is feasible to reduce the ratio of abdominal to vaginal hysterectomy by employing the vaginal route in smaller sized fibroids and other benign uterine conditions.

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