Study on Rationality of Abdominal Hysterctomy With Its Clinical Correlations And Histopathological Outcome

Abstract

A cross sectional prospective study was done on 104 patients admitted in the Department of Obstetrics and Gynaecology, Holy Family Red Crescent Medical College Hospital during specific period of one year. The practice of hysterectomy dates back to the middle of 19th century following myomectomy. The indications for hysterectomy were to save life of the patient, relieve sufferings or to correct deformity of organs. Pre-tested structured clinical data sheet was used to obtain necessary data along with records of histopathological reports. The patients who undergone abdominal hysterectomy were mostly between the age 41 to 45 years with Inclusion criteria of Leiomyoma, dysfunctional uterine bleeding. chronic cervicitis, adenomyosis, pelvic inflammatory disease, cervical polyp, post-menopausal bleeding, pelvic endometriosis, choriocarcinoma and ovarian cyst. Most frequent indication was leiomyoma and the chief complain was menorrhagia. Both ovaries had to be removed in most of the patients (72) out of total 104 cases. In some cases one ovary was preserved as per clinical indications. The complications of hysterectomy in present study was found 24% which was much lower than the other studies done earlier as 37% and 35%14. This finding may be due to increased use of prophylactic antibiotic, surgical techniques and improvement of overall aseptic and antiseptic measures taken pre, per and post operative period.