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| Year : 2002 | Volume
: 7
| Issue : 1 | Page : 13-15 |
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Increasing the use of the vaginal route for hysterectomy in Nigerians: A critical appraisal
Hyacinth E Onah, Hyginus U Ezegwui
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
Nigeria
 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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