Title: Hysterectomy Reviewed: Retrospective Analysis of Hysterectomy Cases Perform over a Period of one year in a Regional Institute

Authors; Jha Vandana, Panda Subrat, Singh A Santa

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.46

Abstract

Objective: To review cases of hysterectomy with an aim to improve our health care in gynaecological cases.

Material and Methods: 125 cases of hysterectomy done for gynaecological indications for 2 years in the Department of Obstetrics and Gynaecology, NEIGRIHMS were reviewed and analysed retrospectively.

Result: Most common age group undergoing hysterectomy were between 36 – 45 years age group (46.4%). Menstrual irregularities in various forms was the most common symptom (56%) compelling women lastly for hysterectomy. Fibroid remained the favourite indication (29.6%) followed by DUB. Vaginal route of hysterectomy associated with reduced hospital stay and faster recovery Blood Transfusion was most common complication.

Conclusion: Hysterectomy is widely performed surgery in gynaecological cases for various indications, although it is safe surgery in terms of morbidity and mortality.

Further morbidity associated with hysterectomy can be avoided by deciding role of alternative therapy and selecting appropriate route and time of surgery in each individual case.

References

  1. Karen J Carlson, David H Nichols and ISAAC Schiff, N Engl J Med; 328:856-860.
  2. The VALUE National Hysterectomy Study: Description of the Patients and Their Surgery, Maresh, M. J. A.; Metcalfe, M. A.; McPherson, Klim; Overton, C.; Hall, V.; Hargreaves, J.; Bridgman, S.; Dobbins, J.; Casbard, A.

Corresponding Author

Jha Vandana

Department of Obstetrics and Gynaecology, NEIGRIHMS