An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria
Aim: The study aimed to audit vaginal hysterectomies and pelvic floor repair performed for women with uterovaginal prolapse as a quality assessment of the procedure. Materials and Methods: In this study conducted at the National Obstetric Fistula Center, Abakaliki, case folders of women who had vagi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Nigerian Journal of Medicine |
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| Online Access: | http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=2;spage=265;epage=268;aulast=Ekwedigwe |
| _version_ | 1818607255566680064 |
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| author | Kenneth C Ekwedigwe Maradona E Isikhuemen Ileogben Sunday-Adeoye |
| author_facet | Kenneth C Ekwedigwe Maradona E Isikhuemen Ileogben Sunday-Adeoye |
| author_sort | Kenneth C Ekwedigwe |
| collection | DOAJ |
| description | Aim: The study aimed to audit vaginal hysterectomies and pelvic floor repair performed for women with uterovaginal prolapse as a quality assessment of the procedure. Materials and Methods: In this study conducted at the National Obstetric Fistula Center, Abakaliki, case folders of women who had vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse between June 2012 and December 2016 were reviewed. Relevant data were extracted using a pro forma and analyzed using the Statistical Package for the Social Sciences, software version 21. Results: The case records of 358 women who had a vaginal hysterectomy and pelvic floor repair were reviewed. Their mean age and parity were 53.44 ± 10.54 years and 6.92 ± 2.47, respectively. Complications were recorded in 49 (14%) of the patients, and these were intraoperative bleeding requiring blood transfusion in 15 (4.2%), postoperative intraabdominal bleeding requiring exploratory laparotomy in 7 (2%), urinary tract infection in 5 (1.4%), hospital re-admission following vaginal bleeding in 2 (0.6%), and vaginal discharge in 13 (3.6%). The long-term complication that was observed following the procedure was vault prolapse in 7 (2%). There was 1 (0.3%) mortality. Conclusion: Vaginal hysterectomy with pelvic floor repair is a relatively safe procedure in women with uterovaginal prolapse. There are morbidities associated with this procedure. |
| first_indexed | 2024-12-16T14:23:51Z |
| format | Article |
| id | doaj.art-cbe4c11ccee64e0e91e72891d5f67422 |
| institution | Directory Open Access Journal |
| issn | 1115-2613 |
| language | English |
| last_indexed | 2024-12-16T14:23:51Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Medicine |
| spelling | doaj.art-cbe4c11ccee64e0e91e72891d5f674222022-12-21T22:28:26ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132020-01-0129226526810.4103/NJM.NJM_56_20An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East NigeriaKenneth C EkwedigweMaradona E IsikhuemenIleogben Sunday-AdeoyeAim: The study aimed to audit vaginal hysterectomies and pelvic floor repair performed for women with uterovaginal prolapse as a quality assessment of the procedure. Materials and Methods: In this study conducted at the National Obstetric Fistula Center, Abakaliki, case folders of women who had vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse between June 2012 and December 2016 were reviewed. Relevant data were extracted using a pro forma and analyzed using the Statistical Package for the Social Sciences, software version 21. Results: The case records of 358 women who had a vaginal hysterectomy and pelvic floor repair were reviewed. Their mean age and parity were 53.44 ± 10.54 years and 6.92 ± 2.47, respectively. Complications were recorded in 49 (14%) of the patients, and these were intraoperative bleeding requiring blood transfusion in 15 (4.2%), postoperative intraabdominal bleeding requiring exploratory laparotomy in 7 (2%), urinary tract infection in 5 (1.4%), hospital re-admission following vaginal bleeding in 2 (0.6%), and vaginal discharge in 13 (3.6%). The long-term complication that was observed following the procedure was vault prolapse in 7 (2%). There was 1 (0.3%) mortality. Conclusion: Vaginal hysterectomy with pelvic floor repair is a relatively safe procedure in women with uterovaginal prolapse. There are morbidities associated with this procedure.http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=2;spage=265;epage=268;aulast=Ekwedigweauditpelvic floor repairuterovaginal prolapsevaginal hysterectomyvault prolapse |
| spellingShingle | Kenneth C Ekwedigwe Maradona E Isikhuemen Ileogben Sunday-Adeoye An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria Nigerian Journal of Medicine audit pelvic floor repair uterovaginal prolapse vaginal hysterectomy vault prolapse |
| title | An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria |
| title_full | An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria |
| title_fullStr | An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria |
| title_full_unstemmed | An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria |
| title_short | An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria |
| title_sort | audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in south east nigeria |
| topic | audit pelvic floor repair uterovaginal prolapse vaginal hysterectomy vault prolapse |
| url | http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=2;spage=265;epage=268;aulast=Ekwedigwe |
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