Volume : VIII, Issue : VII, July - 2018

Clinicopathological Analysis of Hysterectomies in a Tertiary Care Hospital

Basanta Manjari Hota, B Kavitha

Abstract :

Introduction: Hysterectomy is the commonest major gynecological surgery in all over the world. It is usually an elective procedure. Even with present advancement in medical science the surgery is not risk free. Therefore this terminal procedure is decided only when absolutely indicated. Indications of this procedure show the disease prevalence in the institution and indirectly in the region.

Aims: The aim of this study was to find out the different clinical indications for hysterectomy and to correlate the clinical diagnosis with histopathological diagnosis.

Materials and methods: 232 cases undergoing hysterectomy for clinically benign conditions over a period of 2 years in a tertiary care centre catering mainly for rural Telangana were studied. Detail clinical data, investigations, indication for hysterectomy, type of surgery and histopathology report were compiled and analysed by frequency tables and compared with other similar studies.

Results: Majority of cases belonged to 5th decade of life (52.16%). Abnormal uterine bleeding was the commonest presentation (59.48%). Commonest indication for hysterectomy was fioid uterus (39.22%),. Total abdominal hysterectomy was the major route of surgery. Histopathology report showed Leiomyoma as the commonest pathology (40.08%) and histopathology report correlated with clinical indication up to 97.85%. In spite of exclusion of malignant cases, 4 cases (1.72%) were confirmed to be malignant histopathologically.

Conclusion: Abnormal uterine bleeding is the commonest clinical presentation and fioid uterus is the commonest indication of hysterectomy. All specimens after hysterectomy must be subjected to histopathology examination to confirm the pathological diagnosis and to rule out malignancy.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Basanta Manjari Hota, B Kavitha, Clinicopathological Analysis of Hysterectomies in a Tertiary Care Hospital, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-7 | July-2018


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