Prevalence and outcome of hysterectomy in a peripheral medical college – A data-based retrospective study

Sima Biswas, Rajorshi Keshri, Bivas Bala
In: Asian Journal of Medical Sciences · 2022 · vol. 13(4) , pp. 118–122 · doi:10.3126/ajms.v13i4.41323 · W4220753232
article OA: gold CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective study of 424 hysterectomies found that menorrhagia and leiomyoma were the most common indications, with abdominal hysterectomy being the preferred route despite higher complication rates compared to vaginal hysterectomy.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This retrospective study (May 2017 to April 2020) evaluated 424 patients who underwent hysterectomy at Rampurhat Government Medical College, analyzing demographics, presenting symptoms, surgical indications, operative routes, and histopathology, along with postoperative complications. Most patients were 41–50 years old, menorrhagia was the most common presenting complaint (61.32%), and leiomyoma was the most common indication (27.12%), followed by abnormal uterine bleeding and pelvic organ prolapse; the majority received abdominal hysterectomy (79.25%). The dominant histopathology was leiomyoma (22.88%), and urinary tract infection was the most frequent postoperative complication (9.19%), with most complications reported after abdominal hysterectomy. The study’s limitation was that it was based on single-center retrospective chart review without additional diagnostic stratification beyond the recorded histopathology; adenomyosis is mentioned among the pelvic pathologies for which hysterectomy is presented as preferred. Relevance to endometriosis: adenomyosis is explicitly cited among the pelvic pathologies included in the study’s conclusion, although endometriosis and endometriosis-specific analyses are not discussed.

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

Abstract

Aims and Objectives: The study aimed evaluation of prevalence, demographic features, clinical presentation, indication, intra-operative findings, different types of operation, and histopathological diagnosis of patients who underwent hysterectomy in our center. Materials and Methods: This retrospective study done over 3 years from May 2017 to April 2020 in Department of Obstetrics and Gynecology of Rampurhat Government Medical College, West Bengal India. Case record and data of each patient were obtained from medical record section of the hospital and analyzed after taking permission of concerned authority. Inclusion criteria: Those underwent hysterectomy for gynecological indications during our study periods. Results: During the study period, total 6014 obstetrical and gynecological surgery performed; out of them, 424 cases of hysterectomies were studied, maximum patients (64.85 %) underwent hysterectomy at the age group of 41–50 years. Menorrhagia was the most common (61.32%) presenting complains. Leiomyoma was the most common (27.12%) indication followed by abnormal uterine bleeding (22.17%) and pelvic organ prolapses (11.57%). Maximum (79.25%) with abdominal route and 20.75% cases through vaginal approach. Total abdominal hysterectomy with bilateral salpingo-ophorecctomy 270 cases (63.69%), vaginal hysterectomy with pelvic floor repair 60 (14.15%), total abdominal hysterectomy without oophorectomy 50 (11.79%), and radical hysterectomy 16(3.77%).Dominant histopathological type was leiomyoma (22.88%). Among various post-operative complications, urinary tract infection was the most common (9.19%), the most of the postoperative complication was found in abdominal hysterectomy. Conclusion: For treating pelvic pathologies such as uterine bleeding, adenomyosis, fibroid, pelvic inflammatory disease, malignant disorder, and genital prolapse hysterectomy is preferred procedure and abdominal route was most common. Complication of vaginal hysterectomy is less than abdominal approach. Vaginal approach should be preferable approach.
Full text 3,443 characters · extracted from oa-doi-fallback · 4 sections · click to expand

Keywords

Adenomyosis, Hysterectomy, Leiomyoma, Pelvic organ prolapseAbstract Aims and Objectives: The study aimed evaluation of prevalence, demographic features, clinical presentation, indication, intra-operative findings, different types of operation, and histopathological diagnosis of patients who underwent hysterectomy in our center.

Materials and methods

This retrospective study done over 3 years from May 2017 to April 2020 in Department of Obstetrics and Gynecology of Rampurhat Government Medical College, West Bengal India. Case record and data of each patient were obtained from medical record section of the hospital and analyzed after taking permission of concerned authority. Inclusion criteria: Those underwent hysterectomy for gynecological indications during our study periods.

Results

During the study period, total 6014 obstetrical and gynecological surgery performed; out of them, 424 cases of hysterectomies were studied, maximum patients (64.85 %) underwent hysterectomy at the age group of 41–50 years. Menorrhagia was the most common (61.32%) presenting complains. Leiomyoma was the most common (27.12%) indication followed by abnormal uterine bleeding (22.17%) and pelvic organ prolapses (11.57%). Maximum (79.25%) with abdominal route and 20.75% cases through vaginal approach. Total abdominal hysterectomy with bilateral salpingo-ophorecctomy 270 cases (63.69%), vaginal hysterectomy with pelvic floor repair 60 (14.15%), total abdominal hysterectomy without oophorectomy 50 (11.79%), and radical hysterectomy 16(3.77%). Dominant histopathological type was leiomyoma (22.88%). Among various post-operative complications, urinary tract infection was the most common (9.19%), the most of the postoperative complication was found in abdominal hysterectomy.

Conclusion

For treating pelvic pathologies such as uterine bleeding, adenomyosis, fibroid, pelvic inflammatory disease, malignant disorder, and genital prolapse hysterectomy is preferred procedure and abdominal route was most common. Complication of vaginal hysterectomy is less than abdominal approach. Vaginal approach should be preferable approach. Downloads Downloads Published How to Cite Issue Section License Copyright (c) 2022 Asian Journal of Medical Sciences This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Authors who publish with this journal agree to the following terms: - The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work. - Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. - Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

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 (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (4)

References (17)

Source provenance

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