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 Printable version |
Emergency obstetrical hysterectomy: About 58 cases at Libreville Hospital Centre |
Cahiers d'études et de recherches francophones / Santé . Volume 14, Number 2, 89-92, Avril-Mai-Juin 2004, Étude originale
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 Résumé
Article gratuit
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Author(s) : Sosthène Mayi‐Tsonga, Serge Pither, Jean‐François Meye, Isabelle Ndombi, Marie‐Thérèse Nkili, Noël Ogowet |
Summary :
Objective: To evaluate the incidence, indications and prognosis of this surgery in our daily practice in order to suggest preventive action.
Patients and method: This is a retrospective study over a period of 10 years, from January 1, 1992 to December 31, 2001. Using patient’s documents, parameters have been analysed as followed: age, parity, antecedent of uterine surgery, indications, surgery technique, foeto‐maternal prognosis.
Results: The frequency of this intervention is 0.07%. The average age of patients was 31 years and the average parity was 6. The indications were: 44 cases of haemorrage (76%) and 14 cases of
post‐abortum infection (24%). Sub‐total hysterectomy was performed on all the patients. We have observed 14 cases of maternal death (24%) and 24 cases of foetal death (57%).
Conclusion: The frequency of this surgery is weak in our daily practice, compared with other Black African countries. But foeto‐maternal prognosis is severe. A better sensibilisation of the population on prenatal consultations benefits and the setting up of a real national strategy of obstetrical emergency care constitute a means to prevent this type of surgery. |
Keywords : Gynaecology‐Obstetrics\; Maternal Mortality\; Gabon. |
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