Journal of Gynecology and Obstetrics

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Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea

Received: 3 October 2023    Accepted: 30 October 2023    Published: 11 December 2023
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Abstract

Introduction: The aim of the study was to determine the indications, the different approaches and the prognosis of hysterectomies in the Gynaecology and Obstetrics Department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Methodology: This was a 5-year (January 2017 - December 2021) retrospective, longitudinal, descriptive study of all complete records of patients who had undergone a hysterectomy of patients who underwent hysterectomy in the department. The study variables were quantitative and qualitative, divided into sociodemographic, clinical, therapeutic and prognostic modalities. Results: The frequency of hysterectomies was 1.2% (n=208) of all surgical procedures (n=17456) and 20.2% of all gynaecological procedures (n=1028). The mean age of the patients was 49.8 ±11.3 years, with extremes of 18 and 75 years. The 40 to 49 age group was the most represented (37.5%). These women were married (77.4%), not in education (68.3%), employed (63.5%) and referred (56.3%). Large multiparous women (37.5%) and non-menopausal women (57.2%) were most concerned. The indication for hysterectomy was dominated by uterine fibromyoma (45.67%), followed by genital prolapse (14.9%), endometrial cancer (13.9%) and cervical cancer (10.1%). The abdominal route was the most commonly used (85.09%). Total hysterectomy (91.82%) was the most common type of operation, combined with adnexectomy (37.02%). Morbidity was dominated by anaemia (13.94%) and we recorded 3 deaths (1.44%). Conclusion: Hysterectomy is a fairly frequent surgical procedure in our department and its indications are dominated by uterine fibromyoma, genital prolapse, endometrial cancer and cervical cancer. Improving the technical platform and mastering the various surgical techniques will considerably reduce the morbidity and mortality associated with this surgical procedure in our context.

DOI 10.11648/j.jgo.20231106.15
Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 6, November 2023)
Page(s) 156-159
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hysterectomy, Indication, Approach, Prognosis, Ignace Deen, Conakry, Guinea

References
[1] Thurston J, Murji A, Scattolon S, Wolfman W, Kivés S, Sander A et al. Benign gynaecological indications for hysterectomy. J Obstet Gynaecol Can 2019; 41(4): 558-574.
[2] Ouattara A, Kaboré FXG, Sib SS, Millogo/Traoré FD, Ouedraogo I, Touré B et al. Indications and Prognosis of the Hysterectomy Operation in the Obstetrics and Gynecology Department at the University Teaching Hospital of Ouagadougou (UTH-YO), Burkina Faso. Open J Obstet Gynecol 2017; 7(13): 1239-1246.
[3] Neis KJ, Zubke W, Römer T, Schwerdtfeger K, Schollmeyer T, Rimbach S et al. Indications and route of hysterectomy for benign diseases. Guideline of the DGGG, OEGGG and SGGG (Level S3, AWMF Register No. 015/070, April 2015). Geburtshilfe Frauenheilkd 2016; 76(4): 350-364.
[4] Mbongo JA, Mouanga A, Miabaou DM Nzelie A, Iloki LH. Quality of life and experience of the disease, before and after vaginal hysterectomy, in women admitted to the Centre Hospitalier Universitaire de Brazzaville. Pan Afr Med J 2016; 25: 79-88.
[5] Keita M, Samake A, Haidara D, Diallo M, Goro M, Diakité K. Prevalence and consequences of hysterectomies in the maternity ward of the reference health cetre of commune VI of the district of Bamako. African Journal of Case and Review 2018; 5: 75-81.
[6] Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol 2007; 110(5): 1091-5.
[7] Sukgen G, Türkay Ü. Effects of total abdominal hysterectomy and total laparoscopic hysterectomy on urinary tract dysfunction. Ther Invasive Gynecol Minim 2020; 9(3): 113-117.
[8] Balde IS, Sy T, Diallo B, Diallo Y, Mamy M, Diallo M et al. Les hystérectomies au CHU de Conakry: sociodemographic and clinical characteristics, types, indications, approaches and prognosis. Médecine Santé Trop 2014; 24: 379-382.
[9] Belley priso E, Mboudou E, Nana Njamen T, Egbe Obichemti T, Doh AS. Laparoscopic total hysterectomy: The experience of Douala General Hospital, Cameroon. Clin Mother Child Health 2009; 6(2): 1135-1138.
[10] Institut national de la statistique; Ministère du plan et du développement économique Conakry Guinée. Enquête demographique et de santé (EDSV) 2018: 2019: 22.
[11] Sy T, Leno DWA, Conté I, Camara MK, Diallo AB, Bah IK, et al. Obstetric hysterectomy: three years of experience at the Donka maternity ward of the university hospital of Conakry. Journal de la SAGO 2017; 18: 22-6.
[12] Randriambelomanana JA, Botolahy ZA, Rakotoarivony ST, Herinirina SAE, Rasataharifetra H, Ratsivalaka R. Obstetrical hysterectomies performed in the maternity ward of the CHU of Toamasina Madagascar. Revue d'Anesthesie-Réanimation et de Médecine d'Urgence 2011; 3(1): 8-11.
[13] Hounkpatin BIB, Tonato AB, Denakpo JL, Lokossou A, Sehoue MM, Perrin RX. Vaginal hysterectomy: epidemiology, indications and outcome at the Cotonou lagoon mother and child hospital (HOMEL). Medecine d'Afrique Noire 2012; 59: 537-41.
[14] Pither S, Manou LSB, Lawson JMM, Tchantchou TDD, Tchoua R, Ponties JP. Approaches to hysterectomy. Santé 2011; 22: 79-81.
[15] Fané Seydou, Bocoum Amadou, Sylla Cheickna, Sissoko Aldoulaye et al. Emergengy obstetrical hysterectomie at the CHU Gabriel Touré (Bamako) from 2003 to 2020. Health Sci. Dis: Vol 22 (5) May 2021 pp 33-39. www.hsd-fmsb.org
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  • APA Style

    Tamba Julien, T., Abdourahamane, D., Fatoumata Diaraye, B., Pascal, T., Salematou, B., et al. (2023). Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea. Journal of Gynecology and Obstetrics, 11(6), 156-159. https://doi.org/10.11648/j.jgo.20231106.15

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    ACS Style

    Tamba Julien, T.; Abdourahamane, D.; Fatoumata Diaraye, B.; Pascal, T.; Salematou, B., et al. Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea. J. Gynecol. Obstet. 2023, 11(6), 156-159. doi: 10.11648/j.jgo.20231106.15

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    AMA Style

    Tamba Julien T, Abdourahamane D, Fatoumata Diaraye B, Pascal T, Salematou B, et al. Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea. J Gynecol Obstet. 2023;11(6):156-159. doi: 10.11648/j.jgo.20231106.15

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  • @article{10.11648/j.jgo.20231106.15,
      author = {Tolno Tamba Julien and Diallo Abdourahamane and Balde Fatoumata Diaraye and Tolno Pascal and Bangoura Salematou and Sy Telly},
      title = {Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {6},
      pages = {156-159},
      doi = {10.11648/j.jgo.20231106.15},
      url = {https://doi.org/10.11648/j.jgo.20231106.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.15},
      abstract = {Introduction: The aim of the study was to determine the indications, the different approaches and the prognosis of hysterectomies in the Gynaecology and Obstetrics Department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Methodology: This was a 5-year (January 2017 - December 2021) retrospective, longitudinal, descriptive study of all complete records of patients who had undergone a hysterectomy of patients who underwent hysterectomy in the department. The study variables were quantitative and qualitative, divided into sociodemographic, clinical, therapeutic and prognostic modalities. Results: The frequency of hysterectomies was 1.2% (n=208) of all surgical procedures (n=17456) and 20.2% of all gynaecological procedures (n=1028). The mean age of the patients was 49.8 ±11.3 years, with extremes of 18 and 75 years. The 40 to 49 age group was the most represented (37.5%). These women were married (77.4%), not in education (68.3%), employed (63.5%) and referred (56.3%). Large multiparous women (37.5%) and non-menopausal women (57.2%) were most concerned. The indication for hysterectomy was dominated by uterine fibromyoma (45.67%), followed by genital prolapse (14.9%), endometrial cancer (13.9%) and cervical cancer (10.1%). The abdominal route was the most commonly used (85.09%). Total hysterectomy (91.82%) was the most common type of operation, combined with adnexectomy (37.02%). Morbidity was dominated by anaemia (13.94%) and we recorded 3 deaths (1.44%). Conclusion: Hysterectomy is a fairly frequent surgical procedure in our department and its indications are dominated by uterine fibromyoma, genital prolapse, endometrial cancer and cervical cancer. Improving the technical platform and mastering the various surgical techniques will considerably reduce the morbidity and mortality associated with this surgical procedure in our context.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea
    AU  - Tolno Tamba Julien
    AU  - Diallo Abdourahamane
    AU  - Balde Fatoumata Diaraye
    AU  - Tolno Pascal
    AU  - Bangoura Salematou
    AU  - Sy Telly
    Y1  - 2023/12/11
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    N1  - https://doi.org/10.11648/j.jgo.20231106.15
    DO  - 10.11648/j.jgo.20231106.15
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 156
    EP  - 159
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231106.15
    AB  - Introduction: The aim of the study was to determine the indications, the different approaches and the prognosis of hysterectomies in the Gynaecology and Obstetrics Department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Methodology: This was a 5-year (January 2017 - December 2021) retrospective, longitudinal, descriptive study of all complete records of patients who had undergone a hysterectomy of patients who underwent hysterectomy in the department. The study variables were quantitative and qualitative, divided into sociodemographic, clinical, therapeutic and prognostic modalities. Results: The frequency of hysterectomies was 1.2% (n=208) of all surgical procedures (n=17456) and 20.2% of all gynaecological procedures (n=1028). The mean age of the patients was 49.8 ±11.3 years, with extremes of 18 and 75 years. The 40 to 49 age group was the most represented (37.5%). These women were married (77.4%), not in education (68.3%), employed (63.5%) and referred (56.3%). Large multiparous women (37.5%) and non-menopausal women (57.2%) were most concerned. The indication for hysterectomy was dominated by uterine fibromyoma (45.67%), followed by genital prolapse (14.9%), endometrial cancer (13.9%) and cervical cancer (10.1%). The abdominal route was the most commonly used (85.09%). Total hysterectomy (91.82%) was the most common type of operation, combined with adnexectomy (37.02%). Morbidity was dominated by anaemia (13.94%) and we recorded 3 deaths (1.44%). Conclusion: Hysterectomy is a fairly frequent surgical procedure in our department and its indications are dominated by uterine fibromyoma, genital prolapse, endometrial cancer and cervical cancer. Improving the technical platform and mastering the various surgical techniques will considerably reduce the morbidity and mortality associated with this surgical procedure in our context.
    
    VL  - 11
    IS  - 6
    ER  - 

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Author Information
  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Conakry University Hospital, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Conakry University Hospital, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Conakry University Hospital, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Conakry University Hospital, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Conakry University Hospital, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Conakry University Hospital, Conakry, Guinea

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