Analytical study of hysterectomies
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 2
Abstract
Background: Hysterectomy is a very frequently performed surgery in women, next to caesarean section. Hysterectomy is considered definitive treatment of various pelvic pathologies like leiomyoma, dysfunctional uterine bleeding, chronic pelvic pain, endometriosis, adenomyosis, prolapse and malignancies. Objectives: The study is done to determine the most important indications for the surgery, the patient demographic profile, the type of surgery done, the incidence of anemia amongst these women and the histopathologial correlation with the clinical diagnosis. Methods: A retrospective study was done in the Department Of Obstetrics And Gynaecology, Annapoorna Medical College and Hospital for the period Jan 2014 – June 2017. Following data were collected like clinical presentation, Hb% before surgery, type of surgery, histopathological diagnosis of operated specimen and framed a proforma. Hysterectomy specimens were fixed in 10% formalin and studied in Department of Pathology. Result: In our study the most common indication for hysterectomy was leiomyoma followed by adenomyosis and other indications. Patients presented with menstrual problems, utero-vaginal prolapse, mass or pain abdomen. Most common Surgical Approach was TAH followed by ¬¬¬VH and LAVH. 750 case records were analysed out of which 8 cases of cancer cervix, 4 cases of adenocarcinoma of endometrium, 1 embryonal cell carcinoma of ovary and 1 case of leiomyosarcoma were found. Conclusion: Histopathological analysis and review is mandatory to evaluate the appropriateness of hysterectomy. Hysterectomy was justified in 99% women in our series based on post operative histopathology report of the specimen. Hysterectomy improves quality of life and at times is life saving procedure. The medical management options should be discussed with the patient before taking a decision.
Authors and Affiliations
R Sujatha, S Sri S Sri Narthana, N Saravanakumar, P M Subramaniam
Keywords
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