A case notes analysis of hysterectomy performed for non-neoplastic indications at Liaquat National Hospital, Karachi

Ahsan S, Shafiqul Ahsan, S Ahsan, S. Naeem, Naeem S, Ahsan A, Aamir Ahsan, A Ahsan
JPMA. The Journal of the Pakistan Medical Association · 2001 · vol. 51(10) , pp. 346–9 · PMID:11768934 · W95955034
Observational OA: closed CC0 ⤵ 4 in-corpus citations
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This retrospective study analyzed 143 hysterectomies for non-neoplastic indications, finding menorrhagia most common, adenomyosis the most frequent pathology, and pyrexia/infections the main complications.

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Abstract

OBJECTIVE: To determine the indications, associated morbidity, mortality and histopathological findings in women who underwent hysterectomy for non-neoplastic indications at Liaquat National Hospital Karachi. MATERIAL AND METHODS: This is a five year retrospective case note study of 143 women who underwent hysterectomy, excluding all those performed for benign or malignant pelvic neoplasms (excluding fibroids) and hysterectomy following childbirth for postpartum haemorrhage. RESULTS: Menorrhagia was the commonest indication for performing hysterectomy. The majority of the patients were in their forties; the commonest post operative complications were pyrexia, urinary tract and wound infections in 16% of the patients. There was no mortality associated with the procedure. The histopathology of the specimens revealed adenomyosis followed by leiomyoma to be the commonest pathology. CONCLUSION: It appears that adenomyosis is a common pathology in women from various ethnic and social backgrounds in Karachi, who are suffering from menorrhagia. Early diagnosis with high-resolution ultrasound is possible and hysterectomy may be offered earlier to these women, as they do not usually respond to medical treatment.

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Condition tags

adenomyosis

MeSH descriptors

Hysterectomy Hysterectomy Hysterectomy Hysterectomy Menorrhagia Adult Adult Aged Aged Female Female Humans Humans Menorrhagia Menorrhagia Middle Aged Middle Aged Retrospective Studies Retrospective Studies

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