Publication:

Review of hysterectomies in Department of Obstetrics and Gynaecology at tertiary care hospital in Northern India

Background With the advancement of newer and conservative approach in the management of many gynaecological conditions, hysterectomy still remains the chief modality of treatment. The aim of this study was to analyze the various indications, clinical profile, and outcome of all the patients who underwent hysterectomy at premier teaching hospital in Northern India.

Methods This study involved all the patients who underwent hysterectomy from 1st Jan 2017 to 31st Dec 2017 in tertiary care hospital India.

Results Out of total 513 hysterectomies, 105 were obstetric and 408 were gynaecological hysterectomies. In obstetric hysterectomies 40% were due to rupture uterus, 38% were due to abnormal placentation. In gynaecological hysterectomies, 75.5 % abdominal & 24.5 % were vaginal.75.7 % were for benign conditions and 24.3% were for malignant conditions. Most common indication was AUB.

Conclusions Hysterectomy is commonly done to improve the quality of life but at the same time in obstetrics emergencies it’s a lifesaving procedure. So, its indications should be clearly evaluated, and patient should be clearly counselled about conservative options, risk and benefits of the procedure.