Clinico–pathological study of hysterectomy in benign lesions: a study of 379 hysterectomies
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20170559Keywords:
DUB, Hysterectomy, Leiomyoma, Uterine prolapseAbstract
Background: Uterus is a very vital reproductive organ and is subjected to many benign and malignant diseases. Hysterectomy is one of the most frequently performed procedures all over the world. Aims and Objectives of the work was to study the clinical benign indications of hysterectomy specimens and to correlate the findings with the histopathological reports.
Methods: A prospective and randomized study was performed in 379 cases of elective hysterectomies for benign lesions.
Results: Abdominal hysterectomy was performed in 64.6% cases while vaginal hysterectomy accounted for 35.3% cases. The mean age for hysterectomy was 45 years with a range from 14 to 78 years. Patients mostly presented with menstrual irregularities (34.3%) followed by prolapse uterus (30%). The principle indication of elective hysterectomy was leiomyoma and was present in 197(51.9%) patients, followed by prolapse uterus in 134 (35.3%) and dysfunctional uterine bleeding (DUB) in 26 (6.8%) patients. Maximum numbers of cases of leiomyoma, uterine prolapse and DUB were found in age group of 41-50 yrs.
Conclusions: The number of abdominal hysterectomy was more than vaginal hysterectomy. Most common presenting feature was menstrual related symptom followed by prolapsed. The main indication for elective hysterectomy was leiomyoma, prolapsed and DUB.References
Kjerulff KH, Erickson BA, Langenberg Pw. Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992. Am J Public Health. Feb 1996;86(2):195-9.
Statistics of hysterectomy in India. Available at www.mediciglobal.com.
Hysterectomies rate for benign conditions in USA, 1994-2003. Obstet Gynecol. 200;107(6): 1278-83.
Toma A, Hopman WM, Gorwill RH. Hysterectomy at a Canadian tertiary care facility: results of a one year retrospective review. BMC Women Health. 2004; 4(1):10.
Das N, Kay VJ, Mahmood TA. Current knowledge of risks and benefits of prophylactic oophorectomy at hysterectomy for benign disease in United Kingdom and Republic of Ireland. Eur J obstet Gynecol Reprod Biol. 2003;109:76.
Dwyer N, Hutton J, Storrat GM. Randomised controlled trial comparing endometrial resection with abdominal hysterectomy for surgical treatment of menorrhagia. Br J Obstet Gynaecol. 1993;100:237-43.
Ajmera SK, Mettler L, Jonat W. Operative spectrum of hysterectomy in a German University hospital, a retrospective analysis. J Obstet Gynaecol India. 2006;56(1):59-63.
Bukar M, Audu BM, Yahaya UR. Hysterectomy for benign gynaecological conditions at Gombe, north eastern Nigeria. Niger. Med. J. 2010;51(1):35-8.
Qamar N, Habibullah, Shaikh TA, Hemlata Memon F, Memon Z. Hysterectomies; an audit at Tertiary Care Hospital. Professional Med J. 2011;18(1):46-50.
Hennry S, Acken JR, Zarou, G.S. Hysterectomy for benign lesions. Am. J. Obst. & Gyn. 1962;84:113-22.
Sobande AA, Eskandar M, Archibong EI et al. Elective hysterectomy: a clinicopathological review from Abha catchment area of Saudi Arabia. West Afr J Med. 2005;249(1):31-5.
Choudhari PK. J. Obst. & Gyn. Of India, 1957,8:171.
