Evaluation of total abdominal hysterectomy over the decade in Holy Family Red Crescent Medical College Hospital - A retrospective observational study

Abstract

Hysterectomy is the commonest major surgical procedure in Gynaecology & usually performed to improve quality of life rather than to cure life-threatening conditions. The rates differ between countries depending on differences in morbidity, health economical aspects, traditions and attitudes. This retrospective observational study was carried out from 2001-2010 & included all cases of abdominal hysterectomy done for benign and non emergency conditions in the department of Obstetrics & Gynaecology, Holy Family Red Crescent Medical College and Hospital, Dhaka with the intention to assess the proportion and the indications of total abdominal hysterectomy over a 10-year period. Percentage of the total abdominal hysterectomy remained between 50-70% of the total major operations over the decade. Fibroid was found to be the most common indication among the admitted patients (around 36%) with highest percetage in 2006 and 2007 (43% and 46% respectively). Next important indication was dysfunctional uterine bleeding (20%) followed by pelvic inflammatory disease (13%), ovarian mass (5%), endometriosis & adenomyosis (4%) and post menopausal bleeding (2%). The majority of hysterectomies were abdominal and the most common indication was uterine fibroids. The overall rate for hysterectomy remained reasonably stable.Bangladesh Med J. 2015 May; 44 (2): 87-91

Clinicopathological Study of Hysterectomy at PNS SHIFA Karachi

“…Only a few studies have compared pre-operative clinical diagnosis with histopathology of hysterectomy specimens. 19,20 In our study, the fibroid was the most common indication for hysterectomy. We had a preoperative indication of fibroid in 76 cases, but it was confirmed in 78 cases.…”

Opportunistic Salpingectomy: Current Practice in Hospital Setting in Bangladesh

“…21 The highest proportion of patients (49.0%) of this study was in the 41-50 years of age group which was consistent with the findings of several other Bangladeshi studies and studies done abroad. In studies by Hossain et al 22 , and Nazneen et al 23 , majority of patients undergoing total abdominal hysterectomy was found to be in the age group of 41-50 years. Subrata et al 21 and Raza et al 24 reported that the highest percentage of patients was among 40-49 years.…”

“…Both the conditions were mostly found in the 41-50 year age group (18.82% and 15.29%). In another Bangladeshi study, Nazneen et al 23 reported that most of the abdominal hysterectomies were due to leiomyoma (46%) and done during 3rd and 4th decade. It was followed by abnormal uterine bleeding due to ovarian dysfunction (AUB-O), pelvic inflammatory disease (PID) and adenomyosis, all of which were among 41-50 year age group.…”