[Hysterectomies in tropical zones: experience of one African maternal health service. 141 cases in Burkina Faso].
We conducted a retrospective study of all hysterectomies performed in our setting over a two year period (1995-1996). The objective was double: define the indications and precise the outcome. A total of 141 cases were recorded. The main characteristics of the patients were the following: a mean age of 38 years, mean gravidity and parity of 5 and an average number of living children of 3. Hysterectomy was performed by the abdominal route in 86.52% of the cases. The main indications were: uterine rupture (39.71%), uterine myoma (25.53%), genital prolapse (19.89%) and cervix cancer (7.09%). Adnexectomy was associated in 51 cases and it was bilateral in 22 cases. The following complications occurred: 5 deaths, 8 wound abcess, 2 bladder injury, 1 ureter injury and 1 case of post-operative hemorragea.
Dao
B
B
Maternité du Centre Hospitalier National Souro Sanou. (C.H.N.S.S), B. P. 676 Bobo Dioulasso, Burkina Faso.
Toure
B
B
Sano
D
D
Bambara
M
M
Koalaga
A
A
Da
E
E
Bazie
A J
AJ
D000038:Abscess / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D002050:Burkina Faso / Q000453:epidemiology; D005260:Female; D006302:Health Services Research; D006786:Hospitals, Urban; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000401:mortality / Q000706:statistics & numerical data*; D008875:Middle Aged; D018579:Patient Selection; D019106:Postoperative Hemorrhage / Q000209:etiology; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology; D016896:Treatment Outcome; D014329:Tropical Climate; D014513:Ureter / Q000293:injuries; D001743:Urinary Bladder / Q000293:injuries; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery; D014597:Uterine Rupture / Q000601:surgery