Analytical study of hysterectomies

Neelgund, Shivaji; Hiremath, P B

doi:10.18203/2320-1770.ijrcog20162117

Cited by 4 publications

(7 citation statements)

References 11 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abdominal hysterectomy was performed in 128 (81.53%) women. The proportion of abdominal versus vaginal hysterectomy is similar to other Asian countries such as Nepal (90%) and India (86%) [20][21].…”

Section: Discussionsupporting

confidence: 62%

Hysterectomy and Oophorectomy in Reproductive Age: A Cross-Sectional Study from a Tertiary Care Hospital

Shahid

Abbas

Mumtaz

et al. 2020

Cureus

View full text Add to dashboard Cite

Introduction Hysterectomy is a common surgical procedure in women, and oophorectomy may also be performed with the hysterectomy. The objective of this study was to identify clinical indications and pathological findings in hysterectomies, performed for gynecological causes, in women of reproductive age (15-49 years) and to determine if oophorectomy or ovarian conservation was performed with the hysterectomy as well as the pathological findings in the ovaries. Methods This cross-sectional study was conducted in the department of Pathology at Dow Medical College in Karachi, Pakistan, from September 2017 to December 2018. Data were recorded from the pathology reports of hysterectomy specimens received in the department. Data of hysterectomies performed for gynecological causes in women of reproductive age group were selected and analyzed, using Microsoft Excel (Microsoft, Redmond, Washington) and SPSS version 20 (IBM Corp., Armonk, New York). Data of women more than 49 years and obstetric hysterectomies were excluded.

show abstract

Section: Discussionsupporting

confidence: 62%

Hysterectomy and Oophorectomy in Reproductive Age: A Cross-Sectional Study from a Tertiary Care Hospital

Shahid

Abbas

Mumtaz

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…24 In present study adenomyosis was present in 21% of the cases. This is consistent with the study done by Neelgund SM et al 18 and Sobande A A et al 4 which reported adenomyosis in 21.7% and 22.7% of the cases respectively.…”

Section: Discussionsupporting

confidence: 93%

“…The ages of the women varied from 30 to 55 years who underwent hystrectomy, the maximum incidence of hysterectomy observed between 41 to 50 years, with a mean of 44.64. In a study carried out by Neelgund SM et al 18 patients undergoing hysterectomy had same age range, and mean age was found to be 45 years in one of the local studies conducted by Samina Saleem Dojki et al, 19 which is in agreement with our study.…”

Section: Discussionsupporting

confidence: 91%

Frequency and morphology of benign histopathological lesions in total abdominal hysterectomy specimens.

Rashid¹,

Qamar

Pario

2020

TPMJ

View full text Add to dashboard Cite

Hysterectomy is one of the most frequently performed gynecological procedure all over the globe undertaken for varying indications, to effectively cure many gynaecological conditions. Histopathological analysis of the hysterectomy specimens should be undertaken for justification of procedure and diagnostic purposes. Objectives: To determine the frequency and morphology of different benign histopathological lesions in total abdominal hysterectomy specimens. Study Design: Descriptive cross-sectional study. Setting: Department of Pathology Fatima Jinnah Medical College. Period: From Jan 2015 to June 2015. Material & Methods: The gross and histopathological findings of uterus and cervix in one hundred Total Abdominal hysterectomy specimens were studied. Non-probability, purposive sampling was done. Total abdominal hysterectomy specimens with or without salpingoophorectomy of patients aged between 20 to 70 years were included. While Total abdominal hysterectomy done in mentally retarded patients and for malignancies were excluded. Patient’s data, presenting complaints and preoperative diagnosis was recorded on predesigned proforma. SPSS version 17 was used as an analytical tool. Results: Age of the patients ranged from 30-55 years with 72% between 41-50 years. The microscopic examination of the cervix revealed features of chronic cervicitis in 75% cases. The commonest neoplastic lesion was leiomyoma present in 66% of cases. Myometrium revealed foci of adenomyosis in 21% cases. Endometrial histology showed hyperplasia in 25% of cases(simple hyperplasia 20%, cystic hyperplasia 4% and complex hyperplasia 1%), hormonal imbalance in 21%, pressure atrophy in 11%, atrophic endometrium in 6% , cystic atrophy in 2% while acute and chronic endometritis in 1% and 2% of cases respectively. Conclusion: The commonest cervical lesion was chronic cervicitis (75%). The commonest benign neoplastic lesion was leiomyoma, present in 66% of cases. Other common pathologies on histology were hyperplasia in 25% of cases, adenomyosis and hormonal imbalance in 21 % of cases each, pressure atrophy in 11%, atrophic endometrium in 6% while endometritis (acute & chronic ) in 3% of cases mainly. Histopathological examination of hysterectomy specimens helps to detect the exact cause and underlined pathology.

show abstract

“…Most common uterine lesions was leiomyoma seen in (39%) cases, (17%) cases of adenomyosis, (14%) cases of leiomyoma with adenomyosis, (6%) cases of senile changes and endometrial polyp, (4%) cases of prolapse uterus and adenomatous hyperplasia of endometrium, (1% )case of endometroid adenocarcinoma and cystic glandular hyperplasia and ( 9% ) cases were unremarkable. Similar findings were reported by Neelgund et al [9] inwhich Leiomyoma ( 22.4%) was the dominant histopathological diagnosis . Both adenomyosis and leiomyoma werepresent in (6.4%) of the cases.…”

Section: Discussionsupporting

confidence: 91%

“…(28%) cases whereas 31% cases were reported to have AUB/DUB/Menorrhagia combined. Neelgund et al [9] showed that leiomyoma was the dominant histopathological diagnosis in (22.4%) cases. Baral et al [10] found fibroid was the most common indication for hysterectomy which was seen in 229 (42.94%) cases followed by uterovaginal prolapse in 101 (18.93%) cases.…”

Section: Discussionmentioning

confidence: 99%

Histopathological Study of Benign and Malignant Lesions of Uterus and Cervix in Hysterectomy Specimens

Raghuwanshi

Bhadouria

Raghuwanshi

et al. 2021

IJMBS

View full text Add to dashboard Cite

Background: The present study was aimed to obtain insight into the varied histopathological patterns of lesions of uterus and cervix in hysterectomy specimens and their age-wise distribution in Index MedicalCollege, Hospital and Research Center. Methodology: This was anobservational study conducted on 100 cases of hysterectomy specimens received at tertiary care hospital Indore. All the specimen was subjected to detailed gross and histopathological examination. Results: Mean age of patients was 44.78±8.64 years. The most common age group was 41-50yrs (42%). Maximum cases were diagnosed as AUB/ DUB/Menorrhagia (31%) followed by fibroid uterus (28%). Uterus was bulky in 70%, cut sections revealed single fibroid in majority i.e. 39% cases and endometrium was in proliferative phase (early 12%, mid 30%, late 19%). Most common histopathological diagnosis of uterus was leiomyoma in 39% cases whereas chronic nonspecific cervicitis (47%) was most common histological diagnosis of cervix. Intramural leiomyoma were most common and were associated with degenerative changes in 33 cases. Hyaline degeneration was observed in maximum cases. Conclusion: The most common indication for hysterectomies in our institution is excessive uterine bleeding. Fibroid uterus as the cause of bleeding is the most common pathology for which hysterectomy is performed. Chronic cervicitis is the most common finding and Adenomyosis continued to be missed preoperatively and diagnosed postoperatively on histopathological examination. Every hysterectomy specimen should be subjected to histopathological examination to confirm various pathological lesions. Keywords: Leiomyoma, histopathology, spectrum, uterus, cervix, hysterectomy

show abstract

Analytical study of hysterectomies

Cited by 4 publications

References 11 publications

Hysterectomy and Oophorectomy in Reproductive Age: A Cross-Sectional Study from a Tertiary Care Hospital

Hysterectomy and Oophorectomy in Reproductive Age: A Cross-Sectional Study from a Tertiary Care Hospital

Frequency and morphology of benign histopathological lesions in total abdominal hysterectomy specimens.

Histopathological Study of Benign and Malignant Lesions of Uterus and Cervix in Hysterectomy Specimens

Contact Info

Product

Resources

About