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American Journal of Clinical Medicine Research. 2014, 2(1), 22-25
DOI: 10.12691/AJCMR-2-1-6
Review Article

Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria

Okeke TC1, , Ikeako LC2 and Ezenyeaku CCT2

1Department of Obstetrics & Gynaecology, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria

2Department of Obstetrics & Gynaecology, Anambra State University Teaching Hospital, Awka, Nigeria

Pub. Date: January 16, 2014
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Okeke TC, Ikeako LC and Ezenyeaku CCT. Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria. American Journal of Clinical Medicine Research. 2014; 2(1):22-25. doi: 10.12691/AJCMR-2-1-6

Abstract

Worldwide, vaginal route is the gynaecologist’s route of surgery. However, abdominal route is the favoured route of hysterectomy in Nigeria inspite of the advantages of vaginal route. This descriptive review is to awaken interest in the teaching and surgical exposure of residents in obstetrics and gynaecology in the field of vaginal surgeries. The ratio of vaginal hysterectomy to abdominal hysterectomy in Nigeria ranges from 1:4 to 1:9. The frequency of vaginal hysterectomy in centres in Nigeria ranges from 10-23%. These rates are lower than the figures quoted from the United States (25%), France (50%), Australia (40-50%) and Saudi Arabia (28%). Vaginal hysterectomy is under-utilized in Nigeria. Most centres hardly do up to five vaginal hysterectomies in a year. Residents in training hardly perform vaginal hysterectomy and may not have watched or assisted in up to ten vaginal hysterectomies before the residency programme is completed. This is completely inadequate for acquisition of proficiency. There is inadequacy and under exposure of residents in the art of vaginal surgeries in Nigeria. There is need for workshops, training and retraining of residents in the field of vaginal surgeries to meet these challenges. This would ensure production of quality gynaecologists with skills and proficiency in vaginal surgery.

Keywords

Under-exposure, residents, vaginal hysterectomy, abdominal hysterectomy, Nigeria

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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