• Users Online: 999
  • Print this page
  • Email this page
ARTICLE
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
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

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.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed377    
    Printed20    
    Emailed0    
    PDF Downloaded55    
    Comments [Add]    

Recommend this journal