Abdominal hysterectomy for benign gynecological diseases | [Journal of Gandhara Medical and Dental Sciences • 2022]

Author(s):

1. Shazia Khattak: Gynae Department, Hayatabad Medical Complex, Peshawar, Pakistan

2. Sadia Ali: Department of Obstetrics & Gynecology, MTI/HMC/KGMC Peshawar, Pakistan

3. Nasreen Kishwar: Gynae Department, Hayatabad Medical Complex, Peshawar, Pakistan

4. Rabeea Sadaf: Gynae Department, Hayatabad Medical Complex, Peshawar, Pakistan

5. Bushra Rauf: Gynae Department, Hayatabad Medical Complex, Peshawar, Pakistan

6. Zahida Parveen: Gynae Department, Hayatabad Medical Complex, Peshawar, Pakistan

Abstract:

OBJECTIVES The aim of this study was to determine the frequency, common indications and complications related to abdominal hysterectomy in a tertiary care hospital. METHODOLOGY This is a descriptive study carried out in the Department of Obstetrics and Gynecology Hayatabad Medical Complex, Peshawar from 1st Jan-2020 to 31st Dec-2020. This study involved all patients who underwent abdominal hysterectomy for benign gynecological diseases in the study period. Patient characteristics and relevant data were entered in a pre-designed proforma, and frequencies were obtained in the form of percentages. RESULTS Total major operations performed in the year 2020 were 165 out of which total hysterectomies were 89. The total number of Abdominal Hysterectomies was 68, Vaginal Hysterectomies were 11 and the total number of Laparoscopic Hysterectomies was 10. The frequency of abdominal Hysterectomy was 76.40%. In this study commonest indication for abdominal hysterectomy was the fibroid uterus. The incidence of which was 47.05% followed by Dysfunctional Uterine Bleeding (DUB), with an incidence of 41.17%. The commonest intraoperative complication was excessive bleeding with an incidence of 2.94%. The commonest immediate post-op complication was wound infection with an incidence of 23.52% followed by pyrexia with an incidence of 8.82%. CONCLUSION Although hysterectomy is the definitive management option for most benign gynecological diseases, removal of this major organ must be balanced and weighed against the potential morbidity associated with the procedure and even the very low risk of mortality.

Page(s): 68-71

DOI: 10.37762/jgmds.9-4.325

Published: Journal: Journal of Gandhara Medical and Dental Sciences, Volume: 9, Issue: 4, Year: 2022

Keywords:

Abdominal hysterectomy , gynecological , Benign Diseases , Uterine

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