A study of gynecological profile of patients undergoing hysterectomy with special reference to its indications

Abstract

Background: Hysterectomy is the most frequently performed major gynecological surgical procedure, with millions of procedures performed annually throughout the world. Approximately 90% of hysterectomies are performed for benign conditions, such as fibroids causing abnormal uterine bleeding. Objective of the study was to study the gynecological profile of women undergoing hysterectomy.Methods: In this study 60 cases of hysterectomy were analyzed over a period of 2 years who underwent hysterectomy at Department of Obstetrics and Gynecology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar. Informed consent was taken from all women. Detailed history, complete clinical, gynecological examination was carried out.Results: Maximum patients i.e. 56.7% were in the age group of 41-50 years followed by the age of 31-40 years i.e. 33.3%. Maximum number of hysterectomies were performed in Para 3. Maximum number of patients had menstrual problems which are about 63.3% and next more common complaint was discharge per vagina (53.3%). Of the 60 cases that underwent hysterectomies 40% of them are for abnormal uterine bleeding, 30% of them are for uterine fibroid, 15% of them are for endometriosis, 8.3% of them are for adenomyosis, 6.6% of them are for cervical dysplasia.Conclusions: The most common indication for hysterectomy was abnormal uterine bleeding.

A Study on Indications, Mode of Hysterectomy and Histopathological Analysis of Hysterectomy Specimens

“…Hysterectomy is the most common major gynecological surgery in India and even worldwide. The most common age group who underwent hysterectomy in this study was between 40 and 49 years, which is about 51.25% of the study population, which is similar to the study of Suraneni et al [9], where 56.7% were in the age group of 41-50 years. Our study also relates to the study by Sucheta et al [10], where the most common age group who underwent hysterectomy was between 41 and 50 years, with 50% of the study population.…”

Race, class, caste, disability, sterilisation and hysterectomy

“…Visser, 1991;Desai et al 2019). In recent times, gynaecology researchers have described 90% of hysterectomies as conducted for 'benign conditions', referring to non-cancerous fibroid leiomyomas and abnormal bleeding, and many have now criticised their overuse, recommending more complex decision trees to determine which surgeries may be most appropriate on a case-by-case basis (Neis et al 2016;Corona et al 2015;Suraneni and Maharana 2017). The recent trend towards minimally invasive gynaecological surgeries is a product of technological advancements, no doubt-such as laparoscopic (keyhole) myomectomy for fibroid removal (the most common condition for which hysterectomy is prescribed)-but in affluent countries it also correlates with both the emergence of the antihysterectomy feminist sociological discourse and with the entry of increasing numbers of women into the discipline of gynaecology from the 1980s onwards.…”