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J Shava

Publications and source records attributed to J Shava.

3 recordsLinked to original sources
PubMed1996

Peripartum hysterectomy at Ga-Rankuwa Hospital: a two and a half year review.

A two and a half year review of 39 peripartum hysterectomies done at Ga-Rankuwa Hospital from 1 January 1993 to 30 June 1995 was conducted. There were a total of 21,108 deliveries, 4,894 (23.19 pc) of which were caesarean deliveries. The ages of the patients ranged from 17 to 46 years and parity from 0 to 9. A large number, 31 (79.5 pc) of the patients were unbooked. The commonest indications were ruptured uterus 14 (35.9 pc) puerperal sepsis 13 (33.3 pc) and post partum haemorrhage four (10.3 pc). The complications included wound dihescence, sepsis, bladder injury, ureteral injury and two deaths occurred.

Adolescent↗
PubMedDate not supplied

Vaginal hysterectomy. A five year prospective descriptive study.

OBJECTIVE: To review patients who had vaginal hysterectomy and observe any complications related to the procedure. DESIGN: A prospective descriptive study. SETTING: Sunshine Hospital, Actonville, Benoni, Gauteng Province, South Africa. SUBJECTS: 124 consecutive women who had vaginal hysterectomy. INTERVENTIONS: Vaginal hysterectomy. MAIN OUTCOME MEASURES: Duration of operation, hospital stay, intra and post operative complications; need for blood transfusion; histological result of uterus and uterus weight. RESULTS: The mean age was 44.7years (range 16 to 74 years). Mean parity was 2.7 (range 0 to 9). Common indications were menorrhagia (34.7%) and myomatous uterus (25.8%). The common risk factors were previous Caesarean delivery (12.9%), medical conditions (9.7%) and previous tubal ligation (10.5%). The mean operation time was 86.6 minutes (range 52 to 140 minutes). Only two (1.6%) patients required blood transfusion. Complications occurred in 5.6% of the patients. Myomatous uterus (40.3%) and adenomyosis (19.4%) were the commonest histological diagnosis. The mean hospital stay was 2.5 days (range 2 to 21 days). The average weight of the uterus was 142.2 gms (range 25 to 599gms). CONCLUSIONS: Vaginal hysterectomy can be performed and achieve very low complication rates.

Adolescent↗