6/14/2017
A 4Year Clinical Review of Elective Hysterectomies at a University Teaching Hospital in Lagos, Nigeria | Abstract Contact Support
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A 4Year Clinical Review of Elective Hysterectomies at a University Teaching Hospital in Lagos, Nigeria
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To cite this article: Okunade Kehinde S., Sekumade Adebayo, Daramola Ebunoluwa, and Oluwole Ayodeji A.. Journal of Gynecologic Surgery. May 2017, ahead of print. https://doi.org/10.1089/gyn.2017.0008
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Online Ahead of Print: May 22, 2017
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Kehinde S. Okunade, MBBS, FWACS, FMCOG,1,2 Adebayo Sekumade, MBBS,2 Ebunoluwa Daramola, MBBS,2 and Ayodeji A. Oluwole, MBBS, FWACS, FMCOG1,2 1Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Lagos, South West, Nigeria. 2Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Lagos, South West, Nigeria.
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Address correspondence to: Kehinde S. Okunade, MBBS, FWACS, FMCOG Department of Obstetrics and Gynaecology College of Medicine, University of Lagos PMB 12003 IdiAraba, Lagos South West Nigeria Email:
[email protected]
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ABSTRACT Related content in Liebert Online Objective: The aim of this research was to determine the types, indications, and operative outcomes of elective hysterectomies at the Lagos University Teaching Hospital (LUTH), in Lagos, South West, Nigeria. Design: This was a descriptive retrospective study of hysterectomies performed at LUTH from January 1, 2008, to December 3, 2012. Materials and Methods: Case notes of patients undergoing elective hysterectomy were retrieved from the hospital's records department, and relevant information was extracted. Collation and analysis of data were performed, using the Epi Info statistical software package, version 7.2. Results: Hysterectomies accounted for 9.4% of all gynecologic surgical procedures. The mean age and parity of the studied women was 49.9 ± 7.7 years and 3.74 ± 1.57, respectively. Total abdominal hysterectomy and bilateral salpingooophorectomy (TAH/BSO) was the most commonly performed (50.8%), and vaginal hysterectomy (VH) (14.5%) was the least performed. There was a rising trend in the number of TAH/BSOs (7%) and radical hysterectomies (RHs; 25%), with a 40% reduction in the number of VHs performed over the study period. General anesthesia was most commonly preferred anesthetic technique (66.7%), while uterine fibroids were the most common indication for hysterectomy. The mean units of blood transfused were 2.2 ± 1.5 units, and the mean days of postoperative admission was 8.0 ± 4.9 days.
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Okunade Kehinde S. Sekumade Adebayo Daramola Ebunoluwa Oluwole Ayodeji A.
Lagos LUTH
Conclusions: There is an urgent need to fortify postgraduate specialist training as a way to improve the skills of future gynecologists so they can perform procedures such as VH to improve the overall outcome for Nigerian
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6/14/2017
A 4Year Clinical Review of Elective Hysterectomies at a University Teaching Hospital in Lagos, Nigeria | Abstract
women undergoing hysterectomy. (J GYNECOL SURG XX:1)
TAH/BSO VH
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Huge Retroperitoneal Endometriotic Mass Adherent to the Sheaths of the Great Pelvic Vessels: 10 Years After Panhysterectomy (Parasitic Endometriosis) Haitham Atef Torky, Khaled Gaber ElSabaa, Soliman Mohammed Soliman Journal of Gynecologic Surgery. May 2017, ahead of print. Abstract | Full Text PDF or HTML | Reprints/Permissions
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