Hysterectomy in a Tertiary Center: Trends and Clinical Outcomes

Document Type

Article

Publication Title

Journal of South Asian Federation of Obstetrics and Gynaecology

Abstract

Aims and background:The most common gynecological surgeries carried out globally is the hysterectomy. It is usually performed for conditions such as abnormal uterine bleeding, prolapse of uterus, fibroid uterus, gynecological malignancies, etc. Considering the alarming trends in hysterectomy rates in developing nations, it is essential to determine the clinical indications and reproductive disorders that need hysterectomies. This study aims to identify the indications and complications of hysterectomy in a tertiary care center and to analyze the histopathological outcomes and their correlation with respective clinical indication. Materials and methods: A prospective observational study was conducted on 190 women who underwent hysterectomy between January 2023 and April 2024 at a tertiary care hospital. Demographic details were collected and summarized. Clinical indications, complications, and histopathological data were compared, and participants were followed in the immediate postoperative period. Analysis of data was done using both quantitative and qualitative variables. The Chi-square test and Fisher’s exact test were used to study the associations. Results: The mean age of study participants was 51.23 ± 9.71 years, with the majority in the 41–50 years age-group. The most prevalent symptom and clinical indication for hysterectomy was abnormal uterine bleeding, accounting for 33.2% of cases. A total of 73.7% of participants underwent abdominal hysterectomy compared to vaginal hysterectomy. Hemorrhage was the most common complication, occurring in 37.4% of the women. A significant correlation (p-value < 0.05) was observed between clinical diagnosis and histopathological outcomes in the majority of cases. Conclusion: The decision to undergo hysterectomy should be individualized, considering its physical and psychological impact on women. Emphasis should be placed on conservative management as the first-line treatment for benign conditions. Histopathology is crucial for identifying previously undetected malignant or other pathological conditions. Clinical significance: This study helps us to identify the indications of hysterectomy and reduce the number of unindicated hysterectomies, thereby reducing operative morbidity.

First Page

S44

Last Page

S48

DOI

10.5005/jp-journals-10006-2644

Publication Date

4-1-2025

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