title: Audit of hysterectomies at the Aga Khan Hospital, Nairobi: justification of operative indications.
abstract: An audit of 381 hysterectomies performed over a 5 year period (1986-1990) was carried out. In order to assess justification of the indication for hysterectomy pre-operative diagnoses were divided into two groups: those potentially confirmable by pathologic study and those not potentially confirmable by pathologic study. Out of the 273 cases studied in the first group, 246 (90.1%) were justified, while out of the 108 cases studied in the second group, 82 (75.9%) were justified. An overall 86% justification rate was observed. Adenomyosis as a histopathologic finding was seen more commonly in Asian than African patients (P < 0.005). Morbidity rate was 20% and there were no mortalities. The procedure in general was considered safe and justified.
authors.affiliation: Department of Obstetrics and Gynaecology, Aga Khan Hospital, Nairobi, Kenya.
authors.forename: K S
authors.initials: KS
authors.lastname: Khan
authors.forename: S
authors.initials: S
authors.lastname: Chaudhry
authors.forename: S B
authors.initials: SB
authors.lastname: Ojwang
authors.forename: B S
authors.initials: BS
authors.lastname: Khehar
authors.forename: M R
authors.initials: MR
authors.lastname: Otieno
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D007044:Hysterectomy / Q000592:standards* / Q000706:statistics & numerical data; D007630:Kenya / Q000453:epidemiology; D008485:Medical Audit; D008875:Middle Aged; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology