VAGINAL HYSTERECTOMY IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY OF THE Point "G" HOSPITAL

Mali Med. 2005;20(1-2):48-50.
[Article in English, French]

Abstract

Our survey consisted in evaluating the prevalence, specifying the indications and describing per and post - operation complications of vaginal hysterectomy in the Department of Gynecology and Obstetrics of the National Hospital of "Point G ". We conducted a descriptive retrospective survey on 58 cases of vaginal hysterectomies performed in that Department from 1995 to December 2000. Vaginal hysterectomies represented 27.3% of all hysterectomies done in the Department. The mean age of the patient was of 56 +/-2 years. The mean parity was 8. In 91.4% of cases this intervention was a step of the cure of a 3rd degree genital prolapsus. Ménométrorragia represented 5.2%, myomatus delivered by the cervix represented 1.7% and high rank cervical dysplasis was 1.7%. Per and post - surgery complications were dominated by perineal infections (5.2%), hemorrhage (1.7%) and urine retention (1.7%). The mean length of hospitalization was of 7+/-2 days. Vaginal hysterectomy is praticable in our context and secondary morbidity remains within acceptable limits. Because of its advantages this technique must be popularized.