Trends in hysterectomy for benign causes - A retrospective study at Kohalpur Teaching Hospital

Abstract

ABSTRACT A retrospective study of all hysterectomies was done from 1st January 2001 to 31st December 2001. The objective was to study the trends in age, parity, indications, type of surgery (abdominal or vaginal), conservation of ovaries, repair of pelvic floor and postoperative complications. All cases were reviewed for the above parameters. 73 hysterectomies were performed during this period, of which 57.53 % were abdominal and 42.47% were vaginal. Maximum numbers of operations (41.09%) were in the age groups of 31 to 40 years and 41-50yrs (35.61%). Ovaries were conserved in 50 %cases. Commonest indication was utero-vaginal prolapse (46.6%) followed by cervical intra-epithelial neoplasia (CIN) (28.77%), leiomyomas (20.54%) and dysfunctional uterine bleeding (DUB) (4.10%). Pelvic floor repair accompanied almost all (97%) vaginal hysterectomies. Key Words: Hysterectomy, pelvic inflammatory disease, cervical intra epithelial neoplasia, utero-vaginal prolapse, DUB.