Gynecological hysterectomy in Northern Tanzania: a cross- sectional study on the outcomes and correlation between clinical and histological diagnoses

BMC Women's Health
Daniel MichaelBariki Mchome

Abstract

Hysterectomy is one of the most common gynaecological procedures performed worldwide. The magnitude of the complications related to hysterectomy and their risk factors are bound to differ based on locations, availability of resources and level of surgical training. Documented complications rates and their correlates are reported from high income countries while data from low- and middle-income countries including Tanzania is scare. This was a hospital based cross-sectional study conducted at a tertiary facility in northern Tanzania where 178 women who underwent elective gynecological hysterectomies in the department of obstetrics and gynecology within the study period were enrolled. Logistic regression was performed to determine the association between risk factors and occurrence of surgical complication where p-value of < 0.05 was considered statistically significant. The degree of correlation between pre-operative clinical and histological diagnosis was determined by kappa correlation test. A total of 75 (42%) of women had surgical complications within 10 days of surgery. Blood transfusion and intra-operative bleeding were the most common complications observed in 34 (19.1%) and 17 (9.6%) women respectively. Independent risk ...Continue Reading

References

Apr 7, 2011·Human Reproduction·Merete OslerBent Ottesen
Jan 10, 2012·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Lena NilssonPreben Kjølhede
May 25, 2013·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·F PrützJ Fuchs
Jan 1, 2014·International Journal of Reproductive Medicine·Deeksha PandeyRajeshwari G Bhat
Aug 9, 2016·Health Policy and Planning·Sapna DesaiSimon Cousens

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Methods Mentioned

BETA
hysterectomy
hysterectomies

Software Mentioned

excel
STATA

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