Analysis of Indications and Different Surgical Approaches for Gynecological Hysterectomies at A Tertiary Care Hospital

Safia Bibi, Khanda Gul, Rakhshinda Mushtaq, Fozia Muhammad Bukhsh

Abstract

Objective

To analyze the indications and approaches for hysterectomy in gynecological diseases.

Study design

Retrospective analytical study.

Place & Duration of study

Department of Obstetrics and Gynecology Unit-III, Bolan Medical College Quetta, from January 2013 to December 2020.

Methodology

Clinical records of all the patients who underwent hysterectomy for gynecological reasons were retrieved from hospital database. A form was designed to collect relevant data. Descriptive statistics were used to present data in frequency and percentages.

Results

In an eight-year period out of 1383 major gynecological surgeries, 942 (68%) patients underwent hysterectomy. Out of these gynecological hysterectomies, 762 (81%) were performed through abdominal approach and 180 (19%) through vaginal route. Most common indication was dysfunctional uterine bleeding (DUB) in 330 (35%) followed by utero-vaginal prolapse in 180 (19%) and fibroid uterus in 135 (14.3%). The mean age of patients was 48 years in abdominal hysterectomy and 56 years in vaginal hysterectomy groups. Most of the patients were grand multipara. The mean parity was 7.6 in abdominal and 8.2 in vaginal hysterectomy patients.

Conclusion

Hysterectomy was the commonest gynecological operation performed at a tertiary care hospital and dysfunctional uterine bleeding was the most common indication. Most of the patients were grand multipara and in older age group.

Key words

Abdominal Hysterectomy, Dysfunctional uterine bleeding, Utero-vaginal prolapse, Fibroid uterus, Vaginal hysterectomy.