Nabia Tariq,Kiran Sarfaraz,
Fakhra Nasim

Dr Nabia Tariq, Professor of Obs/gyn,Shifa College of Medicine, Islamabad.

Abstract

Objectives: To determine the common indications of hysterectomies, correlation of clinical diagnosis with histopathology report, morbidity and mortality, frequency of oopherectomy associated with it, stay in hospital and to determine frequency of immediate and long term complications of hysterectomies.
Study Design: Prospective chart review.
Duration and setting: The duration of the study was six months from January 2008 to June 2008, at a tertiary care private hospital in Islamabad.
Methodology: A prospective chart review of 104 consecutive hysterectomies was carried out. Data regarding patient characteristics, process of care and outcomes were collected.
Results:  A total of 104 patients had undergone abdominal hysterectomy. Menorrhagia was the most common indication for hysterectomy. A significant co-relation was established between the indications for hysterectomy and the histopathology (p value < 0.05). Only 7% of patients suffered from intra-operative complications, no mortality was observed. A significant association was seen between postoperative complications and duration of hospital stay (p= 0.035).
Conclusion:  Menorrhagia was the most common indication of hysterectomy, only 2% patients suffered from significant morbidity.
Keywords: Abdominal hysterectomy, Histopathology report, Mortality and morbidity, Oophorectomy.

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