Evaluation of total abdominal hysterectomy over the decade in Holy Family Red Crescent Medical College Hospital - A retrospective observational study

Rumana Nazneen, Fahmida Monir, Salma Yeasmin, Sharmin Akhter, Lipy Bakshi, Kishwar Sultana
In: Bangladesh Medical Journal · 2016 · vol. 44(2) , pp. 87–91 · doi:10.3329/bmj.v44i2.27245 · W2325040844
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This study reviewed total abdominal hysterectomies performed between 2001 and 2010, finding fibroids to be the most frequent indication, with the procedure comprising 50-70% of major gynecological operations.

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This retrospective observational study reviewed all abdominal hysterectomies for benign, non-emergency indications performed in the Obstetrics & Gynaecology department of Holy Family Red Crescent Medical College and Hospital, Dhaka, from 2001–2010, aiming to assess the proportion and indications of total abdominal hysterectomy over the decade. Total abdominal hysterectomy comprised about 50–70% of major gynecologic operations throughout the period, with uterine fibroid the most common indication (about 36%), followed by dysfunctional uterine bleeding (20%), pelvic inflammatory disease (13%), ovarian mass (5%), and endometriosis & adenomyosis (4%). The paper reports that the overall hysterectomy rate remained reasonably stable, with fibroid proportions peaking in 2006 and 2007. This paper is centrally about hysterectomy indications and rates, and it explicitly reports that endometriosis & adenomyosis accounted for about 4% of total abdominal hysterectomies in the cohort.

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Abstract

Hysterectomy is the commonest major surgical procedure in Gynaecology & usually performed to improve quality of life rather than to cure life-threatening conditions. The rates differ between countries depending on differences in morbidity, health economical aspects, traditions and attitudes. This retrospective observational study was carried out from 2001-2010 & included all cases of abdominal hysterectomy done for benign and non emergency conditions in the department of Obstetrics & Gynaecology, Holy Family Red Crescent Medical College and Hospital, Dhaka with the intention to assess the proportion and the indications of total abdominal hysterectomy over a 10-year period. Percentage of the total abdominal hysterectomy remained between 50-70% of the total major operations over the decade. Fibroid was found to be the most common indication among the admitted patients (around 36%) with highest percetage in 2006 and 2007 (43% and 46% respectively). Next important indication was dysfunctional uterine bleeding (20%) followed by pelvic inflammatory disease (13%), ovarian mass (5%), endometriosis & adenomyosis (4%) and post menopausal bleeding (2%). The majority of hysterectomies were abdominal and the most common indication was uterine fibroids. The overall rate for hysterectomy remained reasonably stable.Bangladesh Med J. 2015 May; 44 (2): 87-91
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Evaluation of total abdominal hysterectomy over the decade in Holy Family Red Crescent Medical College Hospital - A retrospective observational study DOI: https://doi.org/10.3329/bmj.v44i2.27245Keywords: Total abdominal hysterectomy, fibroid, surgeryAbstract Hysterectomy is the commonest major surgical procedure in Gynaecology & usually performed to improve quality of life rather than to cure life-threatening conditions. The rates differ between countries depending on differences in morbidity, health economical aspects, traditions and attitudes. This retrospective observational study was carried out from 2001-2010 & included all cases of abdominal hysterectomy done for benign and non emergency conditions in the department of Obstetrics & Gynaecology, Holy Family Red Crescent Medical College and Hospital, Dhaka with the intention to assess the proportion and the indications of total abdominal hysterectomy over a 10-year period. Percentage of the total abdominal hysterectomy remained between 50-70% of the total major operations over the decade. Fibroid was found to be the most common indication among the admitted patients (around 36%) with highest percetage in 2006 and 2007 (43% and 46% respectively). Next important indication was dysfunctional uterine bleeding (20%) followed by pelvic inflammatory disease (13%), ovarian mass (5%), endometriosis & adenomyosis (4%) and post menopausal bleeding (2%). The majority of hysterectomies were abdominal and the most common indication was uterine fibroids. The overall rate for hysterectomy remained reasonably stable. Bangladesh Med J. 2015 May; 44 (2): 87-91 Downloads 296 264

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