Bir Üniversite Hastanesindeki Histerektomi Olgularının Değerlendirilmesi

Abstract

Objective: Hysterectomy is the second most common major surgical procedure, after cesarean section in all over the world. It has been reported that the rate of hysterectomy application is tightly associated with age and parity, and will apply nearly 20% at 55-year-old women. We aimed to evaluate hysterectomy cases in our clinic, carried out at last four years. Material and Methods: The hysterectomy operations which performed between January 2008 and December 2011 were evaluated retrospectively. Demographic and operational datas reached from patients’ files were accessed. Results: The mean age of the 284 cases applied abdominal method, 16 applied vaginal hysterectomies, 12 applied laparoscopically assisted vaginal hysterectomy were 51±8 years, 54.2±8, and 50±4, respectively. The hysterectomy were performed in 142 cases (46%) for uterine leiomyomas, with the most common indication. 45 patients were operated on because of malignancy. Colporrhaphy operation were carried out at 42 patients, and antiincontinence were at 33, simultaneously. Duration of hospitalization were found, 5.6±2.4 days, 3.7±0.6, and 3.4±2.5, in total abdominal hysterectomy, vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy group, respectively (p<0.001). Conclusions: The medical status of patients, uterine size, previous pelvic surgery, presence of genital prolapse, and experience of the surgeon, affect the procedure that will be select. The choice of surgical procedure, surgeon and the patient together to decide the methods by discussing the potential benefits and losses would be more appropriate. Key Words: Laparoscopically Assisted Vaginal Hysterectomy Abdominal Hysterectomy, Vaginal Hysterectomy