PREVALENCE, INDICATION, TYPE AND COMPLICATION OF ELECTIVE HYSTERECTOMY IN A TERTIARY HOSPITAL IN ETHIOPIA

ABSTRACTBACKGROUND: Hysterectomy is a surgical removal of the uterus. It is one of the commonly performedsurgical procedures worldwide. In obstetric and gynecologic context, it is the second to cesarean section. Theaim of this study was to analyze the rate, indications, complications, and type of elective hysterectomy in Aydercomprehensive specialized hospital.METHODOLOGY: Retrospective study of all women for whom elective hysterectomy was done from January 2009-December 2016 in Ayder Comprehensive Specialized Hospital. RESULTS: A total of 385 elective hysterectomies were done out of 1058 major gynecologic surgeries duringthe study period. This makes a rate of hysterectomy of 36.4%. Majority of the cases were in the age group of 41-50years (31.6%) with the mean age of 47.5 years. The leading indication for elective hysterectomy was uterovaginalprolapse184 (57.3%), followed by leiomyoma 48 (15%) and ovarian tumor 47(14.6%). Vaginal hysterectomy was thecommonest route of surgery 159(49.5%) followed by total abdominal hysterectomy (TAH) 75(23.4%). Half of thepatients who had elective hysterectomy had pain during their hospital stay and 36.4 % of them were anemic afterthe operation. CONCLUSION: The rate of elective hysterectomy was 36.4% of all major gynecologic surgeries during thestudy period and more than half the indication was done for uterovaginal prolapse. Post-operative surgical site painwas the most common complication identified in about half of the cases during the study period.KEY WORDS: Total abdominal hysterectomy, vaginal hysterectomy, Uterovaginal Prolapse, Leiomyoma,Ovarian tumor