Surgical Complications of Abdominal Hysterectomy-One Year Study at Navodaya Medical College, Raichur (original) (raw)
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Clinicopathological correlation of abdominal hysterectomy
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Hysterectomy is the most common gynaecological procedure performed worldwide. Abdominal hysterectomy remains the most common approach though recently there has been preference towards laparoscopic hysterectomy. Fibroid uterus is the most common indication for hysterectomy followed by pelvic organ prolapse, benign ovarian tumour and abnormal uterine bleeding. The objective of this study was to analyse the indication, outcome and correlate the clinical indication with the histopathological diagnosis.Methods: This study was conducted in the Department of Obstetrics and Gynaecology, B. P. Koirala Institute of Health Sciences, from January 2017 to December 2019. This is a descriptive analysis of the patients who had undergone abdominal hysterectomy during the study period.Results: A total of 801 patients underwent abdominal hysterectomy and the most common indication was fibroid uterus (n=391, 48.81%), followed by abnormal uterine bleeding. The total complication rate was 3.2...
Nigerian Journal of Medicine, 2010
Background: Total abdominal hysterectomy is a commonly performed gyneacological procedure. Although it is safe, it can still be associated with development of complication. The aim of this study was to determine morbidity associated with total abdominal hysterectomy in our environment. Method: All cases of total abdominal hysterectomy done over a five-year period (January 2003 December 2006) at the University of Maiduguri Teaching Hospital (UMTH) were reviewed. Information was obtained from the patients' case notes, gynaecology ward, and theatre records. The complications of the procedure were determined. Multiple logistic regression was used to find the factors that were independently associated with development of complications. Results: During the study there were 101 cases of total abdominal hysterectomy out of 729 gynaecological operations, a rate of 13.8%. In majority of the cases 56(68.3%) the indication of the hysterectomy was uterine fibroid (symptomatic). Overall 37(45.1%) experience some form of complication out of which 26(70.3%) was febrile morbidity. Finding enlarged uterus intraoperatively {OR(95%CI)= 14.5(1.84-114.6), p=0.011}, blood transfusion {OR(95%CI)= 31.1(1.35-718.8), p=0.032}and postoperative PCV <30% {OR(95%CI)= 9.63(1.14-81.3) p=0.037}were found to be significantly associated with development of complication. Conclusions: Total abdominal hysterectomy was associated with development of complications and enlarged uterus, increasing parity independent risk factors for development of the complication
Evaluation of complications of abdominal and vaginal hysterectomy in non decent cases
2015
Introduction: Abdominal and vaginal hysterectomies are the two prominent operative modalities for various uterine conditions. However the indications for selecting a particular procedure in any setting may not be optimally defined. This study was undertaken to evaluate disease by comparing peri operative and post operative complications. at the department of OBGY Bharati Hospital, Sangli, fr vaginal and abdominal hysterectomy groups by convenience sampling. The primary outcome measures were operative time, primary haemorrhage, wound infection, post operative analgesia, febrile mor haemorrhage and secondary outcome measures were estimated
Journal of Chitwan Medical College, 2019
Background: Hysterectomy is an effective treatment for a wide range of gynaecological diseases, both benign and malignant. There must be a periodic audit for the appropriate indication of the surgery and its complication rate. Histopathological analysis is mandatory for definitive diagnosis and further management. This study aims to review the clinical profile, indications of hysterectomy and to assess the correlation between the clinical diagnosis and histopathological report. Methods: A retrospective study of all the patients undergoing abdominal hysterectomy was conducted in the Department of Obstetrics and Gynecology, Chitwan Medical College Teaching Hospital, Nepal from January to December 2018. Demographic and clinical informations were retrieved from the medical record section. Datas were entered in the pre-designed proforma. Statistical analysis was done in terms of percentages, standard deviation, correlation and mean. Results: During the study period, 111 patients under...
Evaluation of Early Post-Operative Complications of Hysterectomized Patients
SAS journal of surgery, 2021
Original Research Article Background: Hysterectomy is the surgical removal of the uterus. In a total hysterectomy, the uterus and cervix are removed. In some cases, the fallopian tubes and ovaries are removed along with the uterus. In subtotal hysterectomy, only the uterus is removed. Infectious complications after hysterectomy are most common, ranging from 10.5% for abdominal hysterectomy to 13.0% for vaginal hysterectomy and 9.0% for laparoscopic hysterectomy [1]. Objective: The purpose of the study was to evaluation of the early post-operative complication of Hysterectomized patients. Methods: The Study was conducted in the department of obstetrics and gynaecology of Dhaka Medical College Hospital, Dhaka, Bangladesh to find out the common indications of hysterectomy. 100 cases were randomly selected for the study whose common indication of hysterectomy. Clinical examination and evaluation were done from October 2004 to February 2005. Other necessary investigations were done if clinically indicated and to prepare the patient for anesthesia. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: Majority of cases who underwent hysterectomy were 31-40 years (52%) of age. Out of 100 cases most of patients (70%) underwent abdominal hysterectomy and only 30 (30%) cases underwent vaginal hysterectomy. Out of 33 cases, clinically diagnosed as leiomyoma of the uterus histopathology revealed leiomyoma in 24 cases. In uncomplicated abdominal and vaginal hysterectomy, the duration of surgery was almost same, vaginal hysterectomies needs slightly longer time. Average hospital stay after operation was same. Conclusion: Uterine weight was not affected the complication rate, estimated blood loss and length of hospital stay in total hysterectomy operation.
Pakistan Journal of Medical and Health Sciences, 2022
Introduction: Hysterectomy is the most common gynecological procedure. Abdominal approach is preferred for an enlarged uterus especially in cases of fibroids. However, in a small sized uterus, use of vaginal route is supported in well selected cases Objective: Aim of this audit was to analyze indications, complications, and correlation of preoperative diagnosis with the histopathology report for all hysterectomies, performed in a Shalamar Hospital Lahore. Methods: This study was crass sectional and population the obs. And Gyn. Patients of Shalamar Hospital Lahore. This study is a three year retrospective review of 755 cases of hysterectomy either for gynecological or obstetric reasons managed at Shalamar Hospital Lahore from January 2019 to December 2021. Results: Abdominal hysterectomy accounted for 94%, while vaginal hysterectomy accounted for the remaining 6%. In the former category, an 86% had total abdominal hysterectomy while 9% had subtotal hysterectomy. The average duration of hospital stay following surgery was 3-5 days. The average indoor stay was 2-3 days after vaginal hysterectomy and 4-5days after abdominal hysterectomy. There were 4 cases of mortality accounting for a mortality rate of 1.8 %. Post operative morbidity was encountered in 29.4% of the patients. Anaemia was observed in 45.9%,post operative wound infection in 30.1%, pyrexia in 9% patients, chest infection in 6.7%, bladder injury in 3.6%, bowel injury in 1.8% of the patients. Practical Implication: The practical implication of this study is to correctly treat the patients with pre-operative investigation, Complications, and Correlation of Preoperative Diagnosis with the Histopathology Report of Hysterectomies in private hospitals. Conclusions: Hysterectomy is a major gynaecological procedure. Selection of a appropriate route is very important for the safety of the patient and for hospital stay. Like any other surgery, hysterectomy has an inherent set of complications. So clinical selection should be well justified. Like in any major gynecological procedure, a skilled operator can reduce the morbidity and mortality rates. The conservative approaches should be offered before opting for hysterectomy.
Nepal Journal of Obstetrics and Gynaecology, 2010
Aims: Aims: Aims: Aims: Aims: To compare hysterectomies performed via the abdominal and vaginal routes in terms of indications and associated complications. Methods Methods Methods Methods Methods: Review of retrospective data on all cases of hysterectomies performed at the Federal Medical Centre Abakaliki over a six-year period (January 2000 to December 2005). Results: Results: Results: Results: Results: There were a total of 62 hysterectomies. Of these, 33 (52.2%) were abdominal hysterectomies while 29 (46. 8%) were vaginal hysterectomies. Hysterectomy was carried out predominantly for grand multiparous women [21 (72.4%) and 21 (63.7%) were abdominal and vaginal hysterectomies respectively]. The mean ages of the patients were 48.8 years and 55.5 years for the abdominal and vaginal operations respectively. The only indication for vaginal hysterectomy in this study was uterovaginal prolapse while uterine fibroid was the commonest indication for abdominal hysterectomy. Complications and duration of hospital stay were more following abdominal hysterectomy. Conclusion: Conclusion: Conclusion: Conclusion: Conclusion: There is need for training and retraining of specialist gynaecologists and trainee residents on procedures of hysterectomies, especially vaginal hysterectomy to expand the indications for the vaginal surgery which is attended with less postoperative morbidity.
A Critical Review of 100 Cases of Hysterectomy: A Prospective Study in a Tertiary Care Centre
Scholars International Journal of Obstetrics and Gynecology, 2021
Background: Hysterectomy is the removal of the uterus with or without cervix. When this is done through an abdominal incision it is called abdominal hysterectomy. When the approach is through vaginal vault it is called vaginal hysterectomy. Hysterectomy is a major gynecological operative procedure commonly indicated for women with dysfunctional bleeding, uterine leiomyoma, prolapse, endometriosis & adenomyosis, pelvic pain, premalignant conditions and cancer. Objective: The purpose of the study was to find out the common indications of hysterectomy. Methods: The Study was conducted in the department of obstetrics and gynaecology of Dhaka Medical College Hospital, Dhaka, Bangladesh to find out the common indications of hysterectomy. 100 cases were randomly selected for the study whose common indication of hysterectomy. Clinical examination and evaluation were done from October 2004 to February 2005. Other necessary investigations were done if clinically indicated and to prepare the patient for anesthesia. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: Majority of cases who underwent hysterectomy were 31-40 years (52%) of age. Out of 100 cases most of patients (70%) underwent abdominal hysterectomy and only 30 (30%) cases underwent vaginal hysterectomy. Out of 33 cases, clinically diagnosed as leiomyoma of the uterus histopathology revealed leiomyoma in 24 cases. In uncomplicated abdominal and vaginal hysterectomy, the duration of surgery was almost same, vaginal hysterectomies needs slightly longer time. Average hospital stay after operation was same. Conclusion: For a woman with severe pelvic pain or heavy irregular periods a hysterectomy often means relief from troublesome symptoms. Hysterectomy is offered as a definitive treatment and is associated with high level of satisfaction.
Retrospective Analysis of Hysterectomy Cases in a Tertiary Care Institute, JNIMS
Journal of South Asian Federation of Obstetrics and Gynaecology, 2021
Aim: To study the indications and clinical profile of patients undergoing hysterectomy in Jawaharlal Nehru Institute of Medical Sciences (JNIMS). Materials and methods: A chart review of 132 hysterectomy cases in JNIMS, from January 2016 to January 2017, was done. Peripartum hysterectomy was excluded. The data regarding age, parity, indications of hysterectomy, length of hospital stay (LOHS), and additional surgical procedures were collected and analyzed. Results: Age distribution ranged from 34 to 73 years. The most common age-group was 41 to 50 years (57 patients, 43.18%), and multiparas (>2 parity) had maximal rate (68 patients, 51.52%) of hysterectomies. The most common indication for hysterectomy was abnormal uterine bleeding (AUB) (56 patients, 4242%). The abdominal route (75.76%) was more common than the vaginal route (23.48%) and minimal access surgery (MAS) (0.76%). Eighty-seven patients (65.91%) underwent bilateral salpingo-oophorectomy. The most noted frequency of hospital stay was 4 days (29 patients, 21.97%). Eleven appendectomies and one cholecystectomy were done as an additional surgical procedure. Conclusion: Nondescent vaginal hysterectomy (NDVH) is an established safe surgical procedure but such route is lesser used. The reason may be due to less exposure to such a procedure. Additional surgical procedure is an advantage in the abdominal route, but studies of the plausible risks that may be associated with such procedures are also lacking. The impact of preservation of the ovary is also a lesser-explored area. Hysterectomy seems to be the first option in treatment where resources are limited. It is time to review our approach to benign conditions before considering surgery as the first option. Clinical significance: Symptomatic relief is palpable by hysterectomy, but lack of studies involving the impact of hysterectomy, for example, psychological, social, economical, etc., is a cause of concern. More prospective data comparing indications of hysterectomy with its impact may be helpful in streamlining absolute indications, and patients may be benefitted from the adverse effects of surgical interventions.
A Clinico-histopathological Correlation of Elective Abdominal Hysterectomy in University Hospital
Journal of Karnali Academy of Health Sciences, 2018
Introduction: The objective of this study was to correlate preoperative indications of abdominal hysterectomy with histopathological findings. Methods: This cross-sectional study was conducted in Patan Hospital from April 2016 to March 2018 in all the patients who underwent elective abdominal hysterectomy. Demographic characteristics, clinical symptoms, preoperative diagnosis and final histopathological diagnosis were studied. Preoperative indications were correlated with histopathological diagnosis. Results: A total of 203 elective abdominal hysterectomies were performed. Menorrhagia was the leading symptom found in 67 (33.00%) patients followed by pain abdomen in 62 (30.54%) patients. Leiomyoma was the most common preoperative diagnosis seen in 105 (51.72%) patients followed by ovarian tumor in 34 (16.75%) patients. The most common histopathological diagnosis was leiomyoma observed in 87 (42.86%) patients followed by ovarian tumor in 35 (17.24%) patients. Clinical and histopatholo...