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A clinicopathological review of elective abdominal Hysterectomy.
Author(s):
1. Shakira Perveen: Department of Obstetrics & Gynaecology, Baqai Medical University, Gadap, Pakistan
2. Subhana Tayyab: Department of Gynaecology, Dow University of Health Sciences, Karachi, Pakistan
Abstract:
Objective: To review correlation between indications and histopathology of elective abdominal hysterectomy. Study Design: Descriptive study. Place and Duration of study: Lyari General Hospital, Dow University of Health Sciences Karachi from June 2005-to May 2007. Patients and Methods: Data including age, parity, presenting symptoms and indications for hysterectomy was extracted from files and histopathology of all hysterectomy specimens was collected for detailed study. Results: During 2 years a total of 54 elective abdominal hysterectomies were performed. Abdominal hysterectomy rate was 4.4 /1000 during study period. In 97% indications were for benign conditions. Peak age incidence was 41-50 years and peak parity was 4-6. In 27.7 % indication for hysterectomy was menstrual problem followed by leiomyoma in 22.2 %. On histopathology of uterus in 59.2 % leiomyoma and in 24% adenomyosis were confirmed. There was no mortality associated with the procedure. Conclusions: Menstrual disturbance is leading indication of hysterectomy and leiomyoma is the commonest pathology. Adenomyosis is main cause of menstrual problem.
Page(s): 26-29
DOI: DOI not available
Published: Journal: Journal of Surgery Pakistan, Volume: 13, Issue: 1, Year: 2008
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