%0 Journal Article %T Hysterectomies for Gynaecological Pathology: 56 Cases at the Segou Regional Hospital in Mali %A Tidiani Traoré %A Famakan Kané %A Abdoulaye Kassogué %A Seydou Traoré %A Seydou Z. Dao %A Balilé %A Harber %A Sory Diallo %A Kassoun Sidibé %A Brahima Donigolo %A Babou Traoré %A Adama Coulibaly %A Abdrahamane Diarisso %A Alima Sidibé %A Mamadou Sima %A Augustin Thé %A ra %A Youssouf Traoré %A Ibrahima Tegué %A té %A Niani Mounkoro %J Open Journal of Obstetrics and Gynecology %P 1363-1373 %@ 2160-8806 %D 2024 %I Scientific Research Publishing %R 10.4236/ojog.2024.149108 %X Introduction: Hysterectomy is a surgical procedure involving partial or total removal of the uterus. It is the most common gynaecological surgery in the world. Objective: To describe the epidemio-clinical and prognostic aspects of gynaecological hysterectomies. Patients and methods: This was an 18-month retrospective prospective descriptive study with a six-month follow-up period from 1 December 2020 to 31 May 2022 carried out in the gynaecology department of the Segou regional hospital. Results: Fifty-six (56) hysterectomies were performed out of 118 gynaecological surgical procedures (47.45%). The mean age was 47 ± 11.77 years. Large multiparous women were the most common (50%), with an average parity of 4.58. The main indications were uterine fibroids (30.4%), precancerous lesions of the cervix (17.85%) and uterine prolapse (17.85%). The abdominal route was the most commonly used surgical route (82.14%). Hysterectomy was total in 100% of cases and associated with bilateral adnexectomy in 48.2% of cases. The intra- and post-operative prognosis was satisfactory in 94.6% of cases. No deaths were recorded. The average length of stay was 3.28 days, irrespective of the surgical approach. Three cases of dyspareunia were noted among those who had resumed sexual activity. %K Hysterectomy %K Gynaecological %K Pathology %K Mali %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=135936