DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20182347

Analysis of indications and route of hysterectomy for benign conditions

Smita S. Patne, Aditi J. Upadhye, Jayshree J. Upadhye

Abstract


Background: Hysterectomy is the most common operation performed by gynecologist, next to caesarean section. The primary focus of this study was to review the indications and surgical technique of hysterectomy.

Methods: This retrospective study was performed in the department of Obstetrics and gynecology, in collaboration with Department of Pathology.  All women in the reproductive age group and post-menopausal age who underwent hysterectomy with or without salpingo-oophorectomy were included in this study.

Results: In our study, out of 100 patients, clinical indication was fibroid in 45 (45%) patients, menorrhagia in 15 (15%) patients, adenomyosis in 25 (25%) patients, uterovaginal prolapse in 5 (5%) patients, endometrial polyp in 5 (5%) patients and ovarian tumor in 5 (5%) patients. Histo-pathological diagnosis was leiomyoma in 55 (55%), adenomyosis in 30 (30%), endometrial polyp in 5 (5%), endometrial hyperplasia in 5 (5%) and serous cystadenoma of ovary in 5 (5%). Abdominal hysterectomy was performed in 46 (46%) patients, vaginal hysterectomy in 44 (44.33%) patients while laparoscopic hysterectomy was performed in 5 (6.66%) patients.

Conclusions: In this study, most common indication for hysterectomy was fibroid uterus and it was correlated well with histopathology. Abdominal & vaginal hysterectomies were performed in almost equal number.


Keywords


Abdominal, Fibroid, Hysterectomy, Vaginal

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References


Baskett TF. Hysterectomy: evolution and trends. Best Pract Res Clin Obstet Gynecol. 2005;19:295-305.

Nausheen F, Iqbal J, Bhatti FA, Khan AT, Sheikh S. Hysterectomy. The patient's perspective. Annal Gynecol. 2004;10:339-41.

Khan R, Sultana H. How does histopathology correlate with clinical and operative findings in abdominal hysterectomy. JAFMC Bangladesh. 2010;6(2):17-20.

Shiota M, Kotani Y, Umemoto M, Tobiume T, Hoshiai H. Indication for Laparoscopically Assisted Vaginal Hysterectomy. JSLS. 2011;15(3):343–5.

American College of Obstetricians and Gynecologists, Womens health care physicians, Commiittee opinion, Number 701, June 2017.

Lange S, Michel E. Rivlin, Laparoscopic Hysterectomy. Medscape, 2015.

Gor HB, Rivlin ME. Hysterectomy. Available at: http://emedicine.medscape.com/article/267273-overview. Accessed on 22 January 2015.

Robert Kovac S, Stephen HC. Guidelines to determine the route of oophorectomy with hysterectomy, American J Obstetrics Gynecol. 1996;175:1483-8.

Mehta ST, Trivedi YN, Bhalodia P. Role of non-descent vaginal hysterectomy in advancing gynaecological practice. NHL Journal of Medical Sciences. 2014;3(1):55-8.

Thompson D, Birch JW. Indications of hysterectomy. Clinical obstetrics and gynecology. 1982;24:1245-58.

Domingo S., Pellicer A. Overview of Current Trends in Hysterectomy. Expert Rev of Obstet Gynecol. 2009;4(6):673-85.

Pathak V, Singh P, Tripathi A. Retrospective analytical study of total abdominal hyeterectomy for benign gynaecological conditions. Int J Reprod Contracept Obstet Gynecol. 2017;6:1596-603.

Tan XJ, Lang JH, Shen K, Liu ZF, Sun DW, Leng JH, et al. Operative approaches, indications, and medical economics evaluation of 4180 cases of hysterectomy. Bao. 2003;25(4):406-9.

Khunte V, Armo M, Gahne R, Sisodiya A, Verma S. Hysterectomy: still a treatment of choice for pelvic pathologies in rural India. Int J Reprod Contracept Obstet Gynecol. 2018;7:536-41.