Indications and Prognosis of the Hysterectomy Operation in the Obstetrics and Gynecology Department at the University Teaching Hospital of Ouagadougou (UTH-YO), Burkina Faso

• 作者: Kaboré Francois Xavier Gueswendé Millogo/Traoré Fran?oise Danielle Ouattara Adama Ouédraogo Ali Ouedraogo Issa Ouédraogo Marie Charlemagne Sib Sansan Rodrigue Thieba/Bonane Blandine Touré Boubakar
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: HYSTERECTOMY INDICATIONS PROGNOSIS OUAGADOUGOU
• 年，卷（期）: 2017,（13）
• 页码范围: 1239-1246
• 页数: 8页
• 分类号: R73

摘要

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.