Objective: To assess the indications and complications of gynaecological hysterectomies in a teaching hospital so as to improve quality of patient care and outcome.
Study Design:  Retrospective Study
Place and duration of study: from 1st November, 2013 to 30th November 2014, department of Obs/Gynae-Unit A, Mardan Medical Complex, Mardan.
Methodology: data regarding patients characteristics, indications, operative and postoperative morbidity of gynaecological hysterectomies performed during one year of study period were collected from the hospital record. Statistical analyses in the form of frequency and percentages were performed by using SPSS 17.
Results: A total of 233 gynaecological surgeries were performed. Out of these surgeries, 96 (41.20%) were gynaecological hysterectomies which included 71(73.95%) abdominal and 25(26.04%) vaginal hysterectomies. Multipara in the fifth decade was the demographic feature. DUB (22.92%), chronic PID (18.75%) and fibroid (18.75%) were the commonest indications for abdominal hysterectomy while UV-prolapse (26.05%) was the only indication for vaginal hysterectomy. Anaemia (57.29%) and fever (12.51%) were the common post op complications. There was no DVT or bowel and Ureteric injuries were 1.04%.
Conclusion: Abdominal hysterectomy was the most commonly performed gynaecological procedure for DUB, chronic PID and fibroids. Surgical skill improvement for vaginal and laparoscopic assisted vaginal hysterectomy could improve better patient outcome with less intra and post operative complications.
Key words:  gynaecological study, hysterectomies, indications.

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