Retrospective analytical study of total abdominal hyeterectomy for benign gynaecological conditions

Abstract

Background: Hysterectomy, which is one of the most common surgeries performed on women, dates back to ancient time. This retrospective study was done to determine a baseline data on various indications for total abdominal hysterectomy for benign gynaecological conditions, most common presenting symptoms, and socio-economic status and their histopathology correlation.Methods: This retrospective study was performed in the department of Obstetrics and gynaecology, in collaboration with Department of Pathology, Gandhi Medical College, Bhopal. Baseline data were collected from inpatient files and histopathology reports to determine the indication for surgery, pattern of gynaecological diseases, and distribution with respect to age, parity, rural, urban, socio-economic status and final histopathology correlation. Histopathology reports were collected from Department of Pathology.Results: Majority of women undergone TAH for benign gynaecological diseases were in age group of 40-49 years [n=341 (48.99% cases)], multi para and from urban areas (57.26%). most common indication for TAH is fibroid uterus [n=347 (49.85%)]. The most common mode of presentation is excessive prolonged frequent bleeding per vagina (58.14%). Most common histopathology reports of TAH were leiomyoma with chronic cervicitis {n=347 (49.78%)}.Conclusions: Majority of women undergoing for TAH for benign gynaecological conditions have great satisfaction as they got relieved from their complaints and very minimum post-operative complications, but their long term outcome are still debatable.

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

“…This relatively high frequency of leiomyomas in our study is consistent with studies conducted by Pathak V et al 14 and Baral R et al, 3 both of whom found 49.78% and 48.6% frequency of leiomyoma respectively. In contrast lower values were observed in other studies.…”

“…12 Minimally invasive procedures are now available as alternate option of hystrectomy but not widely used due to untrained staff, expenses and non availability in many health centers. 13,14 Histopathological analysis of the hysterectomy specimens should be undertaken for justification of procedure and diagnostic purposes. 15 This research was aimed to ascertain frequency and morphology of different benign histopathological lesions in TAH specimens.…”

Analysis of indications and route of hysterectomy for benign conditions

“…8 Authors found were similar with study by Pathak et al, who found that most common indication for TAH for benign gynaecological condition was fibroid uterus in 49.78%, abnormal uterine bleeding in 11.01%, adenomyosis in 9.25%, Ovarian mass in 8.81%, chronic cervicitis in 8.37% and AUB in 6.60%. 12 In present study, histo-pathological diagnosis was leiomyoma in 55 (55%), adenomyosis in 30 (30%), endometrial polyp in 5 (5%), endometrial hyperplasia in 5 (5%) and serous cystadenoma of ovary in 5 (5%).…”

“…12 In present study, abdominal hysterectomy was performed in 46 (46%) patients, vaginal hysterectomy in 44 (44.33%) patients while laparoscopic hysterectomy was performed in 5 (6.66%) patients. Contrast to our study, Tan et al found that TAH was done in 78.4%, LAVH in 13.0% and vaginal hysterectomy in 8.6%.…”

Co-relation of ASA-PS with post operative complications and morbidity in hysterectomy patients

“…8 Authors found similar results with study by Pathak et al, who found that most common indication for TAH for benign gynaecological condition was fibroid uterus in 49.78%, abnormal uterine bleeding in 11.01%, adenomyosis in 9.25%, Ovarian mass in 8.81%, chronic cervicitis in 8.37% and AUB in 6.60%. 9 In present study, abdominal hysterectomy was performed in 46 (46%) patients, vaginal hysterectomy in 44 (44.33%) patients while laparoscopic hysterectomy was performed in 5 (6.66%) patients (Table 4). …”