GYNAECOLOGICAL HYSTERECTOMIES. CAN AUDIT CHANGE THE CLINICAL PRACTICE? AN AUDIT

Farah Yousaf, Sofia Tabassam, Noreen Rasul
In: THE PROFESSIONAL MEDICAL JOURNAL · 2016 · vol. 23(06) , pp. 746–749 · doi:10.17957/tpmj/16.3452 · W2412655060
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Abstract

Objective: To evaluate the indications, complications and justifications ofhysterectomy. Period: One year, from 1st January to31st December 2015. Setting: Gynaeand Obstetrics Department Unit 2 of SIMS Lahore. Methodology: This study included allgynecological hysterectomies. Most hysterectomies were done through abdominal route(84%), followed by vaginal (16%). Most common indication for hysterectomy was fibroid uterus(50.45%), followed by adenomyosis, 9.17% and uterovaginal prolapse (15.59%). Complicationrate was 7%, it included hemorrhage, infection and injury to surrounding organs. Hysterectomywas justified in 92% cases. Conclusion: Hysterectomy is used to treat HMB, and it improvesquality of life. However it is associated with certain degree of morbidity and mortality. Soalternative conservative method should be discussed /tried before hysterectomy.

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adenomyosis

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