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International Journal of
Surgery Research and Practice ISSN: 2378-3397

Citation

Egbe TO, Kobenge FM, Arlette MMJ, Eta-Nkongho E, Nyemb JE, et al. (2018) Prevalence and Outcome of Hysterectomy at the Douala General Hospital, Cameroon: A Cross-Sectional Study. Int J Surg Res Pract 5:092. doi.org/10.23937/2378-3397/1410092

Copyright

© 2018 Egbe TO, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESSDOI: 10.23937/2378-3397/1410092

Prevalence and Outcome of Hysterectomy at the Douala General Hospital, Cameroon: A Cross-Sectional Study

Thomas Obinchemti Egbe1, Fidelia Mbi Kobenge2, Metogo Mbengono Junette Arlette3, Eta-Nkongho Egbe4, Jacques Ernest Nyemb5 and Robinson Enow Mbu6

1Faculty of Health Sciences, Department of Obstetrics and Gynecology, University of Buea, Douala General Hospital, Cameroon

2Department of Obstetrics and Gynecology, Douala General Hospital, Cameroon

3Department of Anesthesiology and Reanimation, Douala General Hospital, Cameroon

4District Hospital Konye, Southwest Region, Cameroon

5Operating Theatre, Douala General Hospital, Cameroon

6Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Department of Obstetrics and Gynecology, Yaoundé Central Hospital, Cameroon

Abstract

Aim

To determine the prevalence and outcome of hysterectomy at the Douala General Hospital, Cameroon.

Methods

We carried out a descriptive, hospital-based cross-sectional study during the period January 1, 2005 to December 31, 2015. Retrospectively, we studied medical records and theatre registers of women who underwent hysterectomy. Using pre-specified criteria for data collection, we administered a pre-tested questionnaire in which socio-demographic factors, clinical characteristics, indication, type, hospital stay, and complications of hysterectomy were recorded. Data management was with Epi-info and analyzed with STATA version 10 (Stata Corp, Texas, USA).

Results

The prevalence of hysterectomy was 14.54%; mean age 45.76 (SD 7.7) and 18.7% respondents had a previous cesarean delivery. Multiple leiomyomas (58.2%) and heavy vaginal bleeding (60.6%) were the main diagnoses for hysterectomy. Most respondents (79.5%) underwent total abdominal hysterectomy. The mean hospital length of stay was 6.07 (SD 1.92) days and average work experience of gynecologists was 8.6 (SD 1.1) years. Most complications (79.5%) were from total abdominal hysterectomy (p = 0.01).

Conclusion

One in seven women under age 45 with a diagnosis of multiple uterine fibroids and heavy vaginal bleeding undergo hysterectomy at the Douala General Hospital. There is a significant post-operative complication rate.