{"paper_id":"9278fb1a-bea5-40e6-b0e2-8cf3df675a29","body_text":"Analysis of indications and route of hysterectomy for benign conditions\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20182347Keywords:\nAbdominal, Fibroid, Hysterectomy, VaginalAbstract\nBackground: 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.\nMethods: 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.\nResults: 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.\nConclusions: 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.\nMetrics\nReferences\nBaskett TF. Hysterectomy: evolution and trends. Best Pract Res Clin Obstet Gynecol. 2005;19:295-305.\nNausheen F, Iqbal J, Bhatti FA, Khan AT, Sheikh S. Hysterectomy. The patient's perspective. Annal Gynecol. 2004;10:339-41.\nKhan R, Sultana H. How does histopathology correlate with clinical and operative findings in abdominal hysterectomy. JAFMC Bangladesh. 2010;6(2):17-20.\nShiota M, Kotani Y, Umemoto M, Tobiume T, Hoshiai H. Indication for Laparoscopically Assisted Vaginal Hysterectomy. JSLS. 2011;15(3):343–5.\nAmerican College of Obstetricians and Gynecologists, Womens health care physicians, Commiittee opinion, Number 701, June 2017.\nLange S, Michel E. Rivlin, Laparoscopic Hysterectomy. Medscape, 2015.\nGor HB, Rivlin ME. Hysterectomy. Available at: http://emedicine.medscape.com/article/267273-overview. Accessed on 22 January 2015.\nRobert Kovac S, Stephen HC. Guidelines to determine the route of oophorectomy with hysterectomy, American J Obstetrics Gynecol. 1996;175:1483-8.\nMehta 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.\nThompson D, Birch JW. Indications of hysterectomy. Clinical obstetrics and gynecology. 1982;24:1245-58.\nDomingo S., Pellicer A. Overview of Current Trends in Hysterectomy. Expert Rev of Obstet Gynecol. 2009;4(6):673-85.\nPathak 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.\nTan 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.\nKhunte 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.","source_license":"CC0","license_restricted":false}