EC Gynaecology

Objectives: The objectives of this study were to identify the indications for hysterectomy and the surgical approaches and to describe the prognosis.

Methods: This was a descriptive longitudinal study with a 4-year retrospective component (February 1, 2017 to January 31, 2021) and a 6-month prospective component (February 1, 2021 to July 31, 2021). The retrospective component focused on the records of patients who underwent a hysterectomy and the prospective part on patients who underwent a hysterectomy in the department during the study period. The study focused on the socio-demographic characteristics of the patients, the indications, the surgical approaches, the types of hysterectomy and the prognosis.

Results: Hysterectomy accounted for 1.3% of all surgeries performed in the department during the study period. It mainly concerned women aged 40 - 49 (37.5%), married (77.4%), uneducated (68.3%), housewives (58.7%), grand multiparas (37.5%) and postmenopausal (57.2%). Indications were dominated by uterine leiomyoma (45.7%). The abdominal route was the most used (85.1%). Total hysterectomy was the most practiced (91.8%). The procedure most frequently associated with hysterectomy was adnexectomy (61.1%). Anemia was the most common complication (13.9%) and the case fatality rate was 4%.

Conclusion: hysterectomy is a common practice in the department. The most common indication is uterine leiomyoma and the abdominal route was the most used. The most common complication was anemia.

 Keywords: Hysterectomy; Prognosis; Conakry; Ignace Deen

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