Analysis of Hysterectomy Trends in the Last 5 Years at a Tertiary Center

Abstract

Objectives: This study aimed to assess trends by evaluating the types and complications of hysterectomies performed for benign gynecological reasons at our clinic, which is one of the largest hospitals in Turkey. Materials and Methods: Hysterectomies performed for benign reasons at our gynecology and obstetrics clinic between January 1, 2015 and December 31, 2020 were retrospectively reviewed and included in the analysis. Of the 4288 patients who had undergone hysterectomy, 888 patients were excluded some reasons. The data of the remaining 3400 patients were analyzed Results: For the 3400 patients, the hysterectomy methods performed were as follows: Total Abdominal Hysterectomy (TAH (60%, n = 2055), Total Laparoscopic Hysterectomy (TLH), (27%, n = 948), Vaginal Hysterectomy (VH), (8.9%, n = 302), Conversion from laparoscopy to laparotomy (L / S > LT). (1.4%, n = 49), Robotic hysterectomy (RH), (1%, n = 33), and Subtotal hysterectomy (SH), (0.4%, n = 13). The length of hospital stay was statistically significantly lower in the TLH group than in the TAH group (P < 0.05). A statistically significant and moderate correlation was noted between the length of hospital stay and the duration of operation (r: 0.68 P = 0.00). Conclusion: The ratio of TLH group among hysterectomy modalities has increased over the years. There are many factors that affect the surgeon’s decision in determining the hysterectomy method.TLH is the first option in patients who are not suitable for vaginal hysterectomy.

Cerrahi Yaklaşımın İdrar Yolu Fonksiyonuna Etkisi: Laparoskopik ve Vajinal Histerektomi Sonrası Ürodinamik Değişikliklerin Karşılaştırılması

“…There are different surgical procedures defined in hysterectomies performed for benign gynecological pathologies. Approximately 20% to 40% of women in every developed and developing country have undergone hysterectomy at the age of 60 (1).…”

“…1 shows the demographic characteristics of the participants in this study. It was observed that the average age of group I was 59.15 years, and the average age of group II was 54.73 years, which was significantly different (p = 0.058).…”