Dr. Christian Akili Manegabe, a Congolese physician born on June 30, 1994, in Bugarula/Idjwi, is a dedicated and adaptable medical professional with a strong background in general medicine and health system management. He completed his medical degree at the Catholic University of Bukavu in 2021, specializing in the diagnosis, treatment, and management of common and critical medical conditions. Additionally, he pursued training in Performance-Based Financing (PBF) from 2023 to 2024, focusing on healthcare quality improvement, financial management, and the implementation of health policies.
Dr. Manegabe currently serves as the Medical Chief of Staff at CH Kihumba, where he oversees medical teams, implements public health strategies, and ensures the delivery of high-quality healthcare services. His extensive experience includes roles as a researcher, investigator, and author of specialized reports and case studies, with a commitment to evidence-based practices and continuous improvement.
Known for his excellent problem-solving, leadership, and communication skills, Dr. Manegabe has contributed significantly to health system development in Bukavu and Idjwi. A passionate advocate for healthcare excellence, he balances his clinical and administrative responsibilities with an ongoing dedication to research, writing, and professional development.
Healthcare quality improvement Health policy development and implementation Performance-based financing in health systems Public health strategies for resource optimization Medical education and training methodologies Chronic disease management and patient follow-up systems Field research and data analysis for healthcare trends and outcomes
We conducted a retrospective and cross-sectional study. We collected the data over a period of one year. It took place over a period of time from January 25, 2021 to January 25, 2022 in the obstetrics gynecology departments of the General Hospital (GH) of KASENGA in the city of Uvira in the province of South Kivu in the East of the Democratic Republic of Congo (DRC). The main objective is to determine the frequency of hysterectomy in this part of DRC and to determine what would be the gynecological indications.
Only patients who underwent hysterectomy for gynecological indication were included in our study. We found that the frequency of hysterectomies for gynecological indications compared to all surgical activity was 12.5%. The average age of our patients was 54.2 years. The indications were dominated by hysteroceles (44%) and uterine myomas (20%).
The approach was vaginal in 52% and abdominal in 48%. The hysterectomies were total in 92% of cases and radical in 8% of cases. We did not note any major complications except parietal infections which were in 16% of cases. All patients received postoperative antibiotic prophylaxis. No anticoagulant treatment was prescribed.
After this work we found that hysterectomy is frequent at the Reference Hospital (HR) of KASENGA with the main indication, hysterocele according to the different degrees. We did not have many complications and this would be due to the early antibiotic prophylaxis. The improvement of socio-economic conditions, awareness and early detection should improve the conditions of care.
Keywords: hysterectomy, indications, complications, treatment, way, HR/ KASENGA