A RETROSPECTIVE REVIEW OF ABDOMINAL HYSTERECTOMY IN A TEACHING HOSPITAL

Sarita Acharya; Sweety Shrestha; Manindra Nath Pal

doi:10.3126/jucms.v3i2.14285

A RETROSPECTIVE REVIEW OF ABDOMINAL HYSTERECTOMY IN A TEACHING HOSPITAL

Sarita Acharya, Sweety Shrestha, Manindra Nath Pal

In: Journal of Universal College of Medical Sciences · 2016 · vol. 3(2) , pp. 16–19 · doi:10.3126/jucms.v3i2.14285 · W2234644357

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This retrospective study analyzed 139 patients who underwent abdominal hysterectomy at a teaching hospital in Nepal between 2010 and 2012 to evaluate indications, complications, and diagnostic correlations. The research found that uterine fibroids were the most common indication for surgery, followed by benign ovarian tumors and dysfunctional uterine bleeding, with no major postoperative complications reported. Statistical analysis confirmed a significant correlation between preoperative clinical diagnoses, including ultrasound findings, and the final histopathological results of the specimens. Relevance to endometriosis: listed as one indication for hysterectomy, though the paper's main focus is uterine fibroids.

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Abstract

INTRODUCTION: Hysterectomy is the most commonly performed gynaecological surgery throughout the world. It may be life saving procedure in acute uterine hemorrhage; whereas improves the quality of life in a patient with certain uterine pathology such as fibroids, endometriosis and uterine prolapse. The objective of this study is to review the indications and complications of abdominal hysterectomy as well as to assess the correlation of preoperative clinical and ultrasonographic diagnosis with histopathology of hysterectomy specimens. MATERIAL AND METHODS: A retrospective review of medical records of patients who underwent abdominal hysterectomy between January 2010 and July 2012 in the College of Medical Sciences Teaching Hospital, Nepal was done. Various demographic and pertinent clinical informations were retrieved. Clinical presentations, indications and complications of the hysterectomy as well as the correlation between the clinical diagnosis, ultrasound findings and histopathological diagnosis of the hysterectomy specimen was studied. RESULTS: Between January 2010 and July 2012 a total of 139 patients had undergone abdominal hysterectomy for various indications. The mean age at the time of hysterectomy was 45.5 years. Abnormal vaginal bleeding and lower abdominal pain were the main presenting complaints. The median duration of symptoms was 12 months. Fourty three (40%) had hysterectomy alone and 96 (60%) had hysterectomy with salpingo oophorectomy. The most common clinical indication for hysterectomy was fibroid uterus (40.3%) followed by benign ovarian tumor (18.7%) and dysfunctional uterine bleeding (17.3%). There were no major postoperative complications. The correlation between clinical diagnosis and histopathology was significant at 0.01 level using Pearson correlations. CONCLUSION: Uterine fibroids and benign ovarian tumors are the common indications for abdominal hysterectomy. Postoperative complications are minimal and most of the time the clinical diagnosis correlates with the postoperative histopathological diagnosis.Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10Pages 16-19

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Keywords

Abdominal, Complications, Correlations, Hysterectomy, Indications, HistopathologyAbstract

Introduction

Hysterectomy is the most commonly performed gynaecological surgery throughout the world. It may be life saving procedure in acute uterine hemorrhage; whereas improves the quality of life in a patient with certain uterine pathology such as fibroids, endometriosis and uterine prolapse. The objective of this study is to review the indications and complications of abdominal hysterectomy as well as to assess the correlation of preoperative clinical and ultrasonographic diagnosis with histopathology of hysterectomy specimens.

Material and methods

A retrospective review of medical records of patients who underwent abdominal hysterectomy between January 2010 and July 2012 in the College of Medical Sciences Teaching Hospital, Nepal was done. Various demographic and pertinent clinical informations were retrieved. Clinical presentations, indications and complications of the hysterectomy as well as the correlation between the clinical diagnosis, ultrasound findings and histopathological diagnosis of the hysterectomy specimen was studied.

Results

Between January 2010 and July 2012 a total of 139 patients had undergone abdominal hysterectomy for various indications. The mean age at the time of hysterectomy was 45.5 years. Abnormal vaginal bleeding and lower abdominal pain were the main presenting complaints. The median duration of symptoms was 12 months. Fourty three (40%) had hysterectomy alone and 96 (60%) had hysterectomy with salpingo oophorectomy. The most common clinical indication for hysterectomy was fibroid uterus (40.3%) followed by benign ovarian tumor (18.7%) and dysfunctional uterine bleeding (17.3%). There were no major postoperative complications. The correlation between clinical diagnosis and histopathology was significant at 0.01 level using Pearson correlations.

Conclusion

Uterine fibroids and benign ovarian tumors are the common indications for abdominal hysterectomy. Postoperative complications are minimal and most of the time the clinical diagnosis correlates with the postoperative histopathological diagnosis. Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10 Pages 16-19 Downloads Published How to Cite Issue Section License Authors have to give the following undertakings along with their article: - I/we declare that this article is original and has not been submitted to another journal for publication. - I/we declare that I/we surrender all the rights to the editor of the journal and if published will be the property of the journal and we will not publish it anywhere else, in full or part, without the permission of the Chief Editor. - Institutional ethical and research committee clearance certificate from the institution where work/research was done, is required to be submitted. - Articles in the Journal are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/) - This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.

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