DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20183344

Disappointment after hysterectomy: a stressful situation

Medha Kanani

Abstract


Background: The overall incidence of hysterectomy in India is 7% which is lower as compared to other countries like U.S. which is around 9%. But recently, there is upsurge in the prevalence of hysterectomy. The reason for this may be due to reduced hospital stay and cost. Also, now a days hysterectomy by any modality is increasingly accepted by the professionals and the professional associations and gatherings like conferences as the sole treatment for any benign condition in compare to other modalities of treatment. An attempt was made here in this study to analyse the after-effects of hysterectomy. The overall aim of this study was to describe and investigate postoperative complications and the corrective surgeries being done for them.

Methods: It is a retrospective statistical hospital-based study of relaparotomy done in post hysterectomised patients who came to Sir T General Hospital, Bhavnagar in the Department of Obstetrics and Gynecology. The study was done for the duration of 6 months from October 2016 to March 2017; during the time total of 55 patients were followed for this study that underwent resurgery for their problems.

Results: The incidence of Laparotomy following hysterectomy was 42.5% and the incidence of corrective surgeries for urinary symptoms and vault prolapse was 57.5% including the highest incidence of Anterior colporrhaphy with Posterior colpoperineorrhaphy being 21.2%. The occurrence of problems was more in the patients who had undergone Abdominal hysterectomy (62.5%) in comparison to those who underwent Vaginal hysterectomy (32.5%).

Conclusions: Oopherectomy should be encouraged with hysterectomy after menopause to reduce incidence of Laparotomy following hysterectomy.


Keywords


Hysterectomy, Laparotomy, Oopherectomy

Full Text:

PDF

References


Bhatnagar P, Desai E, Patel U, Leuva B. Delayed re-lapartomy after total hysterectomy. Int J Reprod Contracept Obstet Gynecol. 2013;2:12-5.

Naz F, Begum A. Experience with pelvic mass following hysterectomy for benign diseases. Biomedica. 2004;20:106-9.

Khaw KT, Walker WJ. Ultrasound guided fine needle aspiration of ovarian cyst. Diagnosis and treatment in pregnant and non-pregnant women. Clin Radiol. 1990;41:105-8.

Sheth SS. Vaginal Hysterectomy. In: John Studd Progress in Obstetrics and Gynaecology. 10th vol. London: Churchill Livingstone; 1993:317-339.

Fleisher AC, Tait D, Mayo J. Sonographic features of ovarian remnants. J Ultrasound Med. 1998;17:551-5.

Chiang G, Levine D. Imaging of adnexal masses in pregnancy. J Ultrasound Med. 2004;23:805-19.

Farina GP, Baccoli A, Pani C. Retroperitoneal Sarcomas: our experience. G Chir. 2004;25:163-6.

Neumann GA, Lauszus FF, Ljungstrom B. Rasmussen KL. Incidence and remission of urinary incontinence after hysterectomy-a 3-year follow-up study. Int Urogynecol J Pelvic Floor Dysfunct. 2007 Apr;18(4):379-82.

Gustafsson C, Ekstrom A, Brismar S, Altman D. Urinary incontinence after hysterectomy-three-year observational study. Urol. 2006 Oct;68(4):769-74.

Uzoma A, Farag KA. Vaginal vault prolapse. Obstet Gynecol Int. 2009;2009.

Stamatakos M, Sargedi C, Stasinou T, Kontzoglou K. Vesicovaginal Fistula: Diagnosis Management. Indian J Surg. 2014 Apr;76(2):131-6.