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June 28-29, 2019 | Oslo, Norway
Volume 08
Journal of Medical and Health Sciences | ISSN : 2319-
Breast Pathology and Cancer, Gynecology and Obstetrics Pathology, Palliativecare and Gerontology 2019
Joint Event
Breast Pathology & Cancer
Palliativecare & Gerontology
Gynecology and Obstetrics Pathology
Indications of hysterectomy for benign gynecological diseases at Moi teaching and referral
hospital (MTRH), Kenya
Andrew Kipyegon Cheruiyot, Tonui K Philliph
and
Liko M Joseph
Moi University School of Medicine, Kenya
H
ysterectomy is one of the most frequent gynecological surgeries performed on women and has
been associated with significant risk of morbidity, lower quality of life and poor health outcomes.
Approximately 20-45% of women will have a hysterectomy by the time they are between 60-70 years of
age. Even though indications of hysterectomy have been widely reported, congruence of pre-operative
clinical indications and post-operative pathologic diagnosis has received little attention. The objective of
the study was to identify the benign indications for hysterectomy at MTRH, Kenya. In this hospital-based
descriptive study, 76 women admitted for elective hysterectomy for benign conditions were systematically
sampled. Questionnaire was administered to obtain patient demographics, and previous gynecologic history.
Indications for hysterectomy were abstracted from patient’s medical charts. Histopathology was done for
tissue specimens after hysterectomy. Congruence between clinical diagnosis and histopathological diagnosis
was done by calculating kappa. Mean age of hysterectomy was 45.2 years with standard deviation (SD) of
8.2. Majority had BMI range of 18.5-24.9 at 61 (81.3%); mean parity was 4.0 with SD 2.4. History of previous
surgeries was positive in 19 (25.3%) while presence of comorbid diseases was noted in 9 (12.0%). The
commonest indication of hysterectomy was symptomatic uterine fibroids at 56 (74.7%) with agreement with
histopathology diagnosis (kappa 0.697, p<0.001). In conclusion, majority of hysterectomies at MTRH were
done on multipara women with normal BMI. The predominant indication of hysterectomy was symptomatic
uterine fibroids with good agreement with histopathology result.
RRJMHS 2019, Volume 08