A Spectrum of Hysterectomy Findings in a Tertiary Care Hospital, Madikeri

Abstract

Background: Hysterectomy is the removal of the uterus and is the most common gynecological operation performed on females worldwide. Establishing a spectrum of hysterectomies helps both the surgeons and patients in making a well-informed decision. Materials and Methods: This was a cross-sectional retrospective study. The records of hysterectomies performed for 18 months were collected from the Department of Pathology of Koims, Madikeri. All non-malignant gynecological hysterectomy cases were included, while malignant hysterectomy cases were excluded from the investigation. The data were analyzed by descriptive statistics using Microsoft Excel software and expressed in numbers and percentages. Results: The mean age of the patients was - 46.5±9.4 years of age. The most common approach and indication were the abdominal approach (n=198, 83.19%) and– the fibroid uterus (n=156, 63.87%), respectively. The most common findings in the endometrium-proliferative endometrium (n=105, 44.12%), myometrium-leiomyoma (n=152, 63.86%), cervix-chronic cervicitis (n=133, 53.788%), and ovary and fallopian tubes were unremarkable in majority of the cases. Conclusion: Spectrum establishes a database, helping us study the trends of hysterectomy. The study provides an honest insight into various lesions of the uterus and its adnexa and reiterates the importance of mandatory data analysis. Panhysterectomy in younger females of reproductive age needs a carefully weighed decision. Knowing the types of lesions in hysterectomy cases can help patients better decide about the surgery. Considering that our study was performed on 238 subjects, further studies are needed on a large number of patients with follow-ups for further insights.