CLINICOPATHOLOGICAL REVIEW OF GYNAECOLOGICAL HYSTERECTOMIES - LOCAL EXPERIENCE

Hysterectomies - Local Experience

Abstract

Objective: To share clinicopathological spectrum of hysterectomies performed at CMH Rawalpindi.
Study Design: A cross sectional descriptive study.
Place and duration of the study: This study was carried out at Obstetrics and Gynaecology department CMH Rawalpindi, from October 2010 to June 2012.
Material and Methods: Total of 54 patients who underwent hysterectomy were selected for the study. Detailed history and examination of the patient pre and post-operatively were carried out to observe the indications and complications of hysterectomy.
Results: In total 54 hysterectomies were carried out; all of which with the exception of one were total abdominal. The patients who underwent hysterectomies were in the 4th decade of life. The most common (48%) indication of hysterectomy in our study was found to be menstrual irregularities like menorrhagia, irregular vaginal bleeding, DUB and post-menopausal bleeding give frequently of complication as well. Delayed wound healing was the most common complaint (7%). Histopathology carried out on the uterine specimen showed adenomyosis 17(31%) being the most common finding.
Conclusion: Abdominal hysterectomies carried out in our setup are most commonly done for menstrual irregularities and complication rate is low.