Clinicopathological study of hysterectomised specimens

Authors

  • Saravana A. Department of Obstetrics and Gynecology, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India
  • Shashikala B. Patil Department of Obstetrics and Gynecology, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India
  • Savitha S. Patil Department of Community Medicine, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20164667

Keywords:

Hysterectomy, Laparoscopy, Vaginal

Abstract

Background: Hysterectomy is the commonest major surgical procedure performed in gynecology. It can be done by abdominal or vaginal route and with the help of laparoscopy. Hysterectomy is an effective treatment option for many conditions like fibroid, abnormal uterine bleeding, endometriosis, adenomyosis, uterine prolapse, pelvic inflammatory disease and cancer of reproductive organ when other treatment options are contraindicated or have failed, or if the woman no longer wishes to retain her menstrual and reproductive. The aim and objective of the study was to correlate indications of hysterectomy with histopathological findings in hysterectomised patients.

Methods: A retrospective study was carried on 113 hysterectomised cases over a period of one year from June 2015 to May 2016. The data regarding the patient’s age, parity, clinical diagnosis, type of hysterectomy and histopathological diagnosis were reviewed by the records and analyzed.

Results: A total of 113 cases of hysterectomies were studied. Hysterectomies were distributed over a wide age ranging from 20 years to 75 years. Most common age group was 41-50 years. Among hystectomies majority were done through vaginal route 86 (76.1%) and 26 (23%) cases were done through abdominal route. Most common clinical diagnosis was fibroid uterus in 44(38.9%) cases. Most of the hysterectomies were done for benign conditions. In final histopathological report most common diagnosis was fibroid uterus in 45(39.8%) hysterectomy specimens. It was correlated well with clinical diagnosis. Next most common histopathological diagnosis was Adenomyosis.

Conclusions: Histopathological analysis correlated well with preoperative clinical diagnosis in majority of cases. The commonest indication and histopathological finding in our study was fibroid uterus. Next most common histopathological finding was Adenomyosis. Most commonly hysterectomies were done through vaginal route in our study.

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References

Choosing the route for hysterectomy for benign disease. ACOG committee opinion. The American college of obstetricians and Gynecologists. 2009:444.

Begum J, Talukder SI, Hossain MA. A two years audit of complications of total abdominal hysterectomy at Dinajpur Medical College Hospital Dinajpur. Med Col J. 2008;1(1):14-7.

Whiteman MK, Hillis SD, Jamieson D. Inpatient hysterectomy surveillance in the United States, 2000-2004. Am J Obstet Gynecol. 2008:31-37.

Shergill SK, Shergill HK, Gupta M, Kaur S. Clinicopathological study of hysterectomies. J Indian Med Assoc. 2002;100(4):238-9, 246.

Schwarz R. choice of surgical route in hysterectomy: Gynekol Rundsch. 1990;30(4):248-52.

Del Frat G, Soligo M. Vaginal and abdominal hysterectomy: comparison and perspectives: Minerva Gynaecology. 1996;48(5):181-91.

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Published

2016-12-20

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Section

Original Research Articles