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
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-10 · read from full text ⓘ

This audit evaluated the indications, complications, and justifications for gynecological hysterectomies performed at a single center over one year. The study found that abdominal surgery was the predominant route, with fibroid uterus being the most common indication followed by adenomyosis in 9.17% of cases. While the overall complication rate was low at seven percent, the authors note that hysterectomy carries inherent morbidity despite its effectiveness in improving quality of life for heavy menstrual bleeding. Consequently, the paper advocates for discussing alternative conservative methods before proceeding with surgical intervention. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

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.
Full text 1,095 characters · extracted from oa-doi-fallback · click to expand
GYNAECOLOGICAL HYSTERECTOMIES CAN AUDIT CHANGE THE CLINICAL PRACTICE? AN AUDIT DOI: https://doi.org/10.29309/TPMJ/2016.23.06.1630Keywords: Gynaecological Hysterectomies, Abdominal Hysterectomy, Vaginal HysterectomyAbstract Objective: To evaluate the indications, complications and justifications of hysterectomy. Period: One year, from 1st January to31st December 2015. Setting: Gynae and Obstetrics Department Unit 2 of SIMS Lahore. Methodology: This study included all gynecological 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%). Complication rate was 7%, it included hemorrhage, infection and injury to surrounding organs. Hysterectomy was justified in 92% cases. Conclusion: Hysterectomy is used to treat HMB, and it improves quality of life. However it is associated with certain degree of morbidity and mortality. So alternative conservative method should be discussed /tried before hysterectomy.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

adenomyosis

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

References (11)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK