Journal of Gynecology and Obstetrics

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Research Article |

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

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.

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

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

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

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

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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