Abdominal hysterectomies at area hospital, Point Fortin, Trinidad, West Indies

Abstract

A retrospective analysis of abdominal hysterectomies (3.08% of major operations) at the Area Hospital (52 beds), over a 5-year period revealed that the majority of the patients were multiparous in the reproductive age group. Menstrual irregularity is the most frequent indication, however, hysterectomy in these cases is not justified. High febrile morbidity (38%), blood transfusions and prolonged hospitalization were observed. Peer review, prophylactic antibiotics and survey of the Island hospitals are recommended to make hysterectomy appropriate, safe and to explain any racial variation.

Epidemiology of menstrual disorders in developing countries: a systematic review

“…Nine to fourteen percent of reproductive‐aged women have blood loss that exceeds 80 mL 49 and abnormal uterine bleeding is a leading indication for hysterectomy, the most common non‐obstetric operation in women in both the United States and the United Kingdom 60 . Abnormal uterine bleeding is also reported to be the primary indication for hysterectomy in Trinidad 61 …”

Histopathological Study of Hysterectomy Specimens With Abnormal Uterine Bleeding in a Tertiary Care Hospital.

“…Approximately, 9-14% of women in reproductive age group have blood loss exceeding 80 ml and AUB is a primary indication for hysterectomy. (12) Leiomyoma, also called as fibroid, is the most common benign tumor of uterus that affects 5-20% women of reproductive age group. This tumor arises from smooth muscle cells of myometrium [13] The growth of fibroid is primarily dependent on the levels of circulating estrogen.…”