Hysterectomy: retrospective analysis of 476 cases

Parul Bhugra
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2020 · vol. 9(5) , pp. 1930 · doi:10.18203/2320-1770.ijrcog20201782 · W3022485393
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This retrospective analysis of 476 hysterectomy cases identified leiomyoma and atrophic endometrium as the most common myometrial and endometrial pathologies, respectively.

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This retrospective study analyzed 476 consecutive hysterectomy cases performed between January 2016 and December 2017 to evaluate patient demographics, surgical approaches, and histopathological findings. The research identified the peak age group for the procedure as 41-50 years, with abdominal hysterectomy being the most common surgical type. Key pathological results indicated that leiomyoma was the predominant myometrial lesion, atrophic endometrium was the most frequent endometrial finding, and chronic cervicitis was the leading cervical abnormality. Relevance to endometriosis: adenomyosis is mentioned only in a cited reference title regarding its prevalence at hysterectomy, while the main paper itself does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Background: Diseases of the female genital tract are commonly encountered in clinical practice. Hysterectomy is the definite treatment for many of the pelvic pathologies. The present study is aimed at analysis of age and types of hysterectomy and evaluation of histopathological reports of the hysterectomy specimens.Methods: A total of 476 consecutive hysterectomy were studied over a period of two years from January 2016 to December 2017.Results: The peak age group of hysterectomy was 41-50 years with 221 (46.43%) cases. The commonest type of hysterectomy was abdominal. The most common endometrial pathology was atrophic endometrium, seen in 131 (27.52%) cases. In myometrium, the most common pathology was leiomyoma in 179 (37.61%) cases. Among cervical lesions, chronic cervicitis was the most common finding, seen in 274 (57.56%) cases.Conclusions: The experience with various types of hysterectomies at our institution has been reviewed. A wide spectrum of lesions were observed when histopathology reports of the hysterectomy specimens were analysed.
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Background

Diseases of the female genital tract are commonly encountered in clinical practice. Hysterectomy is the definite treatment for many of the pelvic pathologies. The present study is aimed at analysis of age and types of hysterectomy and evaluation of histopathological reports of the hysterectomy specimens.

Methods

A total of 476 consecutive hysterectomy were studied over a period of two years from January 2016 to December 2017.

Results

The peak age group of hysterectomy was 41-50 years with 221 (46.43%) cases. The commonest type of hysterectomy was abdominal. The most common endometrial pathology was atrophic endometrium, seen in 131 (27.52%) cases. In myometrium, the most common pathology was leiomyoma in 179 (37.61%) cases. Among cervical lesions, chronic cervicitis was the most common finding, seen in 274 (57.56%) cases.

Conclusions

The experience with various types of hysterectomies at our institution has been reviewed. A wide spectrum of lesions were observed when histopathology reports of the hysterectomy specimens were analysed. Metrics

References

Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol. 2007;110:1091-5. Fylstra DL, Carter JF. Laparoscopically assisted vaginal hysterectomy in a university hospital. Decreasing the need for abdominal hysterectomy and increasing resident experience in vaginal surgery. J Reprod Med. 1996;41:493-503. Singh A, Arora AK. Why hysterectomy rate are lower in India. Indian J Commun Med. 2008;33:196-7. Olsson JH, Ellstrom M, Hahlin M. A randomised prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynaecol. 1996;103:345-50. Dicker RC, Seally MJ, Greenspan JR, Layde PM, Ory HW, Maze JM, et al. Hysterectomy among women of reproductive age trends in United States. JAMA. 1990;248:328-35. Ajmera SK, Mettler L, Jonat W. Operative spectrum of hysterectomy in a German university hospital. J Obstet Gynecol India. 2006;56:59-63. Kovac SR. Transvaginal hysterectomy: rationale and surgical approach. Obstet Gynecol. 2004;103:1321-5. Garry R, Fountain J, Mason S, Hawe J, Napp V, Abbott J, et al. The evaluate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. Br Med J. 2004;328:129. Watts WF, Kimbrough RA. Hysterectomy analysis of 1000 consecutive operations. Obstet Gynecol. 1956;7:483-93. Rather GR, Gupta Y, Bardhwaj S. Patterns of lesions in hysterectomy specimens: a prospective study. JK Sci J Med Edu Res. 2013;15:63-8. Ramachandran T, Sinha P, Subramanium. Correlation between clinicopathological and ultrasonographical findings in hysterectomy. J Clin Diag Res. 2011;5:737-40. Dhuliya V, Gosai D, Jain H, Goswami H. Histopathological study of uterine and cervical lesion in hysterectomy specimen. BJkines - NJBAS. 2016;8:23-6. Vani D, Pushpa HR, Srijana Rao SP, Bharathi M. Spectrum of histopathological findings in hysterectomy specimens - a retrospective - 5-year study. J Med Sci Clin Res. 2018;6:902-6. Patel AS, Shah KJ. Histopathological analysis of hysterectomy specimens in tertiary care center: two-year study. Trop J Pathol Microbiol. 2018;4:34-9. Gupta A, Sehgal S, Yadav A, Kumar V. Histopathological spectrum of uterus and cervix in hysterectomy specimens. Int J Med Res Prof. 2016;2:136-9. Shrestha A, Shrestha R, Sedhai LB, Pandit U. Adenomyosis at hysterectomy: prevalence, patient characteristics, clinical profile and histopathological findings. Kathmandu Univ Med J. 2012;37:53-6.

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