Hysterectomy: retrospective analysis of 476 cases

Bhugra, Parul

doi:10.18203/2320-1770.ijrcog20201782

Cited by 3 publications

(2 citation statements)

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“…The abdominal route was the most used method of hysterectomy. Abdominal hysterectomies were performed in 93.8% of cases, and vaginal hysterectomies in 6.2% of cases, which is comparable to other reports [12,[15][16][17][18] . Vaginal hysterectomy was primarily used for uterovaginal prolapse, while the abdominal route was used for a variety of other indications.…”

Section: Discussionsupporting

confidence: 87%

Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

Alegbeleye,

Kasso

2024

Int. J. Clin. Obstet. Gynaecol.

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Background: Hysterectomy is the most common major gynaecological surgery in the world. It effectively treats many gynaecological conditions. Several studies have described the pathological findings in hysterectomy specimens and investigated the relationship between preoperative clinical diagnosis and pathological diagnosis, but none have been carried out at the study centre. Objectives: To determine the indications for hysterectomy, identify the patterns of pathologies in hysterectomy specimens and their correlation with pre-operative clinical diagnosis at the University of Port Harcourt Teaching Hospital. Material and Methods: This retrospective study included 202 women who had non-oncological hysterectomy at the Gynaecology unit of the University of Port Harcourt Teaching Hospital between January 1, 2011, and December 31, 2016. The study included all types of hysterectomies, such as vaginal and total abdominal hysterectomies, as well as unilateral/bilateral salpingectomy/salpingo-oophorectomy. Hysterectomy for gynaecological cancer and pregnancy complications were not considered. The information was gathered from the patients' theatre records, histopathology reports, and case notes and entered into a predesigned proforma. The data set included socio-demographic characteristics, clinical presentation, type of hysterectomy, clinical diagnosis, and pathological lesions. The statistical analysis was performed using SPSS version 25, with a p-value of 0.05 set as the level of significance. Results: Of The 202 cases studied, the most common age group that underwent hysterectomy was 35 and 44 years 94 (46.5%). The most common type of hysterectomy was total abdominal hysterectomy 165 (84.6%). The commonest clinical indications for hysterectomy were leiomyoma 135 (66.8%), followed by adenomyosis 17 (8.4%). The most common findings identified by histopathology were proliferative endometrium 78 (38.6%) in endometrium, leiomyoma 135 (66.8%), in myometrium, chronic cervicitis 7 (3.5%) in cervix, and follicular cysts 15 (40.6%) in ovaries. Histopathological confirmation of preoperative diagnosis was 88.6% for cervical pathology. Majority of the cases pre-operatively diagnosed as Dysfunctional uterine bleeding (DUB) were found to have adenomyosis, endometrial polyp, secretory endometrium, or disordered proliferative endometrium. Conclusion:The most common pathologies found were proliferative endometrium in endometrium, leiomyoma in myometrium, chronic cervicitis in cervix, and chronic salpingitis in fallopian tubes. In most cases, histopathologic analysis confirmed the clinical diagnosis.

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Section: Discussionsupporting

confidence: 87%

Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

Alegbeleye,

Kasso

2024

Int. J. Clin. Obstet. Gynaecol.

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“…Most common indications were placental pathology, uterine atony and uterine rupture. [5] [3] Even though this procedure is primarily done to save women from uterus-related lifethreatening problems and for a better and healthy life, reports shows it has also negative impact on the patient psychological and physical well being . Hysterectomy related psychological morbidity typically includes depression, anxiety, and stress-related symptoms, it could be triggered by negative perceptions about body image, femininity, youth, energy and activity levels, as well as loss of child-bearing capacity which resulted from the complications that follows the procedure like vaginal cuff dehiscence and injuries to nervous, urinary, and gastrointestinal structures [6] [7] Globally maternal death is increasing alarmingly.…”

Section: Introductionmentioning

confidence: 99%

A Ten Years Retrospective Study of Hysterectomy in Goba Referral Hospital, Bale Zone, South East Ethiopia, Magnitude Indications and Outcomes

Getachew

Mengistu

Asres

2020

Preprint

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Background: Hysterectomy is one of the major surgeries performed in clinical practice for commonly encountered diseases of the female genital tract worldwide. Even if Hysterectomy is widely performed surgery in both developed and low income countries little is known about is epidemiology in rural part of develop countries. Especially in developing countries like Ethiopia representative reliable statistics are rarely available on this important aspect of women’s health mainly on its prevalence, indication and outcome. So the aim of this study was to assess the magnitude indication and outcome of hysterectomy in Goba Referral Hospital from January 1, 2008 to January1, 2018. Methods: institutional based retrospective study was conducted in Goba Referral Hospital. Self-administered structured checklists were used to collect the data. The data were entered into Epi data version 3.1 and analyzed by SPSS version 20. Continuous and categorical variables were summarized by tables, graph and descriptive statistics. Logistic regression was used to determine association between predictors and Hysterectomy prevalence. P-value <0.05 was -considered as statistically significant. Results: a total of 200 hysterectomies were done for obstetrics and gynecology indications, of which the commonest, 47% (n=94), indication was uterine rupture. From the total of 116 women, who had no antenatal care follow up, 40% (n=47) had uterine rupture. This study also indicated that, most of uterine rupture cases 80% (n=76) were living far away from the hospital (> 50km from the hospital) 94.6% (n-89) were multiparous. This study has also indicated that from the total of 20 discharged dead, 90% (n=18)) were came from a distance of >100km far from the hospital and 95% (n=19) were those who didn’t attend antenatal care. Conclusions: the higher rate of uterine rupture was seen in those who were multi Para, far from Hospitals and those who have no ANC follow up. Large scale study for the identification of determinant factors for evidence based intervention will be very important.

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Spectrum of Histopathological Lesions of Female Genital Tract - Study in a Tertiary Care Centre

Jindal

Naik

2021

ijsr

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Introduction: (1) The female genital tract is constituted by the ovaries, fallopian tubes, uterus (body/corpus and cervix), vagina, and vulva. Female genital tract lesions can be benign or malignant. Our study was carried out to nd out the frequency of various histopathological lesions including neoplasms of female genital tract. Materials and Methods: Our study is retrospective conducted over 2 years period. Data was collected from case records of patients presenting to Goa Medical College and histopathology reports obtained from Dept of pathology. Data was represented in form of charts and tables. The analysis of statistical data of variables was done using SPSS software version 22. Signicance was calculated using chi square test. Value of p <0.05 was considered signicant. Results: Out of total 270 subjects studied, 229 were having benign lesions and 41 had malignant lesions.The mean age was 49.5 years. Leiomyoma was diagnosed in (40.58%) cases. In abnormalities of endometrium proliferative endometrium was seen in 37.6%. Chronic cervicitis was seen 78.74% cases. Among the ovarian lesions, 67.74% cases were simple follicular cysts. Cervical cancer was found in 73.17% cases followed by ovarian malignancies in 19.51 % cases, endometrial carcinoma in 4.87% cases and vulvar cancer in 2.44% cases. Among the malignant tumors (58.54%) cases were postmenopausal women. Conclusion: Microscopic assessment and clinico-pathological correlation of lesions is necessary as grossly identiable benign lesion may harbour a focus of malignancy. It aids to appropriate management in the postoperative period. A concerted effort should be done towards prevention of cancers, by creating awareness through health education in addition to implementation of screening methods.

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Hysterectomy: retrospective analysis of 476 cases

Cited by 3 publications

References 9 publications

Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

A Ten Years Retrospective Study of Hysterectomy in Goba Referral Hospital, Bale Zone, South East Ethiopia, Magnitude Indications and Outcomes

Spectrum of Histopathological Lesions of Female Genital Tract - Study in a Tertiary Care Centre

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