Obstetric Hysterectomy: Retrospective analytical study at P D U Medical College, Rajkot

Abstract

Most common was rupture uterus in 18 cases (51%). Others are morbid adherent palcenta-3(8%), perforation during termination of pregnancy-3(8%), atonic PPH-3(8%), lower genital track trauma-1(3%), ectopic pregnancy-1(3%), invasive mole-1(3%), DIC-1(3%), placenta previa-2(5%) and combined atonic and traumatic PPH-3(8%). 26 cases (70%) have undergone total hysterectomy while 11 cases (30%) have undergone subtotal hysterectomy. Most common complication was wound gap in 5 cases while others were bladder injury in 3 ,intra op cardiac arrest in 1, febrile illness in 1, peroneal nerve injury in 1 and ARF in 1 cases were noted. Average hospital stay was 14 days and all patients were required blood transfusions. No maternal mortality was noted in all 37 cases. Abstract To find out indications of obstetrics hysterectomy, related complications and associated maternal morbidity and mortality. Methods: A Retrospective Analytical Study was performed at Dept of obs & gynec P D U Medical College, Rajkot over a period of 3 yrs during 2011-2013.Evaluation of Maternal age, parity, SE status, booking status, obstetric risk factors, duration of hospital stay, indications of hysterectomy, type of hysterectomy, intra-op and post-operative complications, blood transfusions and maternal morbidity and mortality was done. Results: Total 37 cases were noted during period of 3 yrs. Out of which most common indication of obstetric hysterectomy is rupture uterus -19(51%). No maternal mortality was noted in all 37 cases. In 70% cases total and 30% cases subtotal hysterectomy were done. Wound gap is most common complication in 5 cases followed by bladder injury in 3 cases. Conclusion: Our retrospective analytical study has concluded that though morbidity is associated with obstetrics hysterectomy, it is a li fe saving procedure if decision was taken timely with available resources and blood transfusions and maternal mortality can be reduced.