{"paper_id":"a080ec95-8f6e-4159-bf10-405fa2b90b1a","body_text":"GYNAECOLOGICAL HYSTERECTOMIES\nCAN AUDIT CHANGE THE CLINICAL PRACTICE? AN AUDIT\nDOI:\nhttps://doi.org/10.29309/TPMJ/2016.23.06.1630Keywords:\nGynaecological Hysterectomies, Abdominal Hysterectomy, Vaginal HysterectomyAbstract\nObjective: To evaluate the indications, complications and justifications of\nhysterectomy. Period: One year, from 1st January to31st December 2015. Setting: Gynae\nand Obstetrics Department Unit 2 of SIMS Lahore. Methodology: This study included all\ngynecological hysterectomies. Most hysterectomies were done through abdominal route\n(84%), followed by vaginal (16%). Most common indication for hysterectomy was fibroid uterus\n(50.45%), followed by adenomyosis, 9.17% and uterovaginal prolapse (15.59%). Complication\nrate was 7%, it included hemorrhage, infection and injury to surrounding organs. Hysterectomy\nwas justified in 92% cases. Conclusion: Hysterectomy is used to treat HMB, and it improves\nquality of life. However it is associated with certain degree of morbidity and mortality. So\nalternative conservative method should be discussed /tried before hysterectomy.","source_license":"CC0","license_restricted":false}