Tropical Doctor > Volume 39, Number 4 > Pp. 200-205

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Effectiveness of vaginal hysterectomy for benign conditions in semi-urban hospital: report from Maroua-Cameroon

P M Tebeu MD MPH   ^*     J N Fomulu MD      P Nana Njotang MD      P Petignat MD      J M Tcheliebou MD   ^**   L Kouam MD      A S Doh MD   

^* Ligue d'Initiative et de Recherche Active pour la Santé et l'Education de la Femme (LIRASEF), Yaoundé; Department of Obstetrics and Gynecology, Provincial Hospital, Maroua; Department of Obstetrics and Gynecology, University Hospitals, Yaoundé, Cameroon; Department of Obstetrics and Gynecology, University Hospitals, Geneva, Switzerland; ^** Department of Radiology, Provincial Hospital, Maroua, Cameroon

Correspondence to: Pierre Marie Tebeu, MD, MPH, Department of Obstetrics and Gynecology, Provincial Hospital Maroua, Cameroon Email: pmtebeu{at}yahoo.fr

We assessed the effectiveness of vaginal hysterectomy for benign uterine conditions in Northern Cameroon. This is a case series study of 29 elective vaginal hysterectomies carried out between February 2005 and June 2007 in Maroua, Cameroon. Hysterocele was found as the only or associated indication in 17 (58.6%) patients, symptomatic uterine fibroids in 4 (13.8%) and other indications in 8 (27.6%) patients. The mean duration of the operation was 132 minutes and the mean blood loss at surgery was 150 ml. Twenty-five of the 28 (89.3%) women had less than seven days of hospitalisation. There was a negative correlation (r = –0.45, P = 0.015) between duration of the surgery and the order of operation. One urinary tract and one wound infection were observed. Two patients had conversion to laparotomy. This study has shown that vaginal hysterectomy is a safe and feasible method of hysterectomy in a semi-urban hospital.

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