Study of indications of hysterectomy among benign gynaecology cases

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Study of indications of hysterectomy among benign gynaecology cases

Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 2

Abstract

Objective Prospective observational study of indications of hysterectomy and postoperative complications was done among benign gynaecology cases attending the outpatient department of Obstetrics and Gynaecology Sir Sunder Lal Hospital Banaras Hindu University Varanasi UP IndiaMaterials and Methods Those women attending the outpatient department of Obstetrics and Gynaecology Sir Sunder Lal Hospital Banaras Hindu University Varanasi UP India who had hysterectomy done were given questionnaire to fill or member of health care team filled questionnaires on their behalf if they were illiterate The study duration was from July 2011 to June 2016 We included only those patients in whom hysterectomy was done at less than 30 years of age and total abdominal hysterectomy was done Patients were asked regarding indication of hysterectomy their understanding of their illness postoperative recovery and current problemResults Total of 45 women gave information about their hysterectomy and their current health and they were all married The 2530 years age women were 93 in this observational study 84 were from low socioeconomic statusIn our questionnaire survey 71 of cases of Total Abdominal Hysterectomy TAH was done for the complaint of vaginal discharge These women disliked the wetness of their undergarments even if mild they thought it as a harbinger of some severe illness Fibroid was second most common cause 15 in our group followed by heavy menstrual bleeding then abdominal pain and prolapseThe most important observation of this study is presenting complain of the patients in this study It is remarkable that 71 of women were operated for persistent vaginal discharge while in 51 it was persisting at the time of presentation When they were examined they had physiological discharge from the vaginal wall 8 patients had persistent granuloma which was causing post coital bleeding and discharge and was treated 15 patients complained dyspareunia although no pathological cause could be elicitedLast and the most important questions which was asked whether women understood her illness Why did she need operation Was she told of the complications Only 11 patients knew it eg had fibroid This is not surprising Vaginal discharge and indication of hysterectomy was not discussed with them They were probably not offered medical treatment Whether it was due to ignorance or some other factor we could not elicitConclusion This study shows higher rate of hysterectomy among patients with vaginal discharge Majority of these women did not have medical treatment for their complain of vaginal discharge Most important feature is that in spite of hysterectomy these women continued to have vaginal discharge which could perhaps indicates that their hysterectomies were unnecessary and their discharges were physiological Education to health care workers and gynaecological patients is of utmost importanceKeywords Hysterectomy Vaginal discharge Indications of hysterectomy

Authors and Affiliations

Uma Pandey

Keywords

Evaluation of efficacy, safety and cost effectiveness of oral iron and injectable iron sucrose and ferric carboxy maltose in pregnant women in 2nd and 3rd trimester in anaemia

Objective: To compare the efficacy safety and cost effective of oral iron and injectable iron sucrose and FCM in pregnancy in 2nd and 3rd trimester. Methods: A prospective randomised control trial study in 300 women with...

EP ID EP475295
DOI 10.18231/2394-2754.2018.0048
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