Histopathological analysis of uterus and appendages following total abdominal hysterectomy
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 1
Abstract
Background: Hysterectomy is the most commonly performed gynecological surgical procedure. Histopathological examination helps in justifying the indications to perform this major surgery and is of utmost important in patients with genital cancer. This study was aimed at histopathological analysis of uterus and appendages following total abdominal hysterectomy. Material and Methods: A total of 110 cases of total abdominal hysterectomies conducted over a period of one year and histopathological analyses of uterus and appendages was done. Results: The age group of 41-50 years was the commonest age group (58%) undergoing the surgery. The most common clinical presentation was excessive irregular or frequent bleeding problems 68 (61.8%) followed by pain abdomen 32 (29.1%).On Histopathological examination, the commonest pathology was found to be Leiomyoma in 49.1% (n=54) followed by Adenomyosis (25.45%).The clinical diagnosis correlated well with histopathological diagnosis. Discussion: Histopathological analysis of the hysterectomy specimens should be a mandatory procedure, even if the gross appearance is normal. It also provides a correlation with the clinical and preoperative diagnosis and leads to appropriate management in the postoperative period.
Authors and Affiliations
Tara Sweta Arya, Sneha Bhushan
Keywords
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