A Clinicohistopathological Correlation of Hysterectomy Specimens in Kashmiri Women Undergoing Elective Abdominal Hysterectomy in a Tertiary Care Centre

Abstract

To study clinical features, indications and histopathological diagnosis of elective abdominal hysterectomy in our region. Patients and Methods: Patients presenting to our department were worked up for age, presenting symptoms, indications for hysterectomy and histopathology reports of the specimens were analysed. The study was done over a period of two years. Results: A total of 237 elective abdominal hysterectomies were performed. About 99% of indications of hysterectomy were for benign disease. Peak age incidence was 45-55 years. 40.92 % of patients presented with menstrual abnormalities, followed by postmenopausal bleeding in 31.22 %. On histopathology of uterus 40 % of the patients had leiomyoma, which was most common and 31.22% had adenomyosis, being second most frequent disease. Endometrial carcinoma in 3 (1.26%) patients was least common pathology. There was no mortality associated with the procedure. Conclusion: Hysterectomy remains acceptable and a successful procedure for management of various uterine pathologies especially in the low resource setting but with proper indication and specific patient counseling. Menstrual disturbance is leading indication of hysterectomy and leiomyoma is the commonest pathology in our study in our population studied.

Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation

“…Saleh SS et al found around 40% of patients having heavy menstrual flow. 13 Similar results were shown by Saldanah CL et al 14 The reason behind may be due to noncompliance with the medical therapy. The next common symptom was pain abdomen which was also observed in other studies done in Nepal.…”