Publication:

Hysterectomy: clinical profile, indications and postoperative complications

Background Hysterectomy is today a relatively safe routine operation performed commonly worldwide. This study aims to know the clinical profile, indications and post-operative complications of patient undergoing hysterectomy.

Methods This is the prospective study of 200 cases of hysterectomy done for benign conditions of uterus. The study period was from July 2012 to December 2014. Women who were tentatively going to undergo hysterectomy in the future were chosen irrespective of their age, parity or clinical presentation. A detail history of their complaints and a thorough physical and gynecological examination was done and recorded on performa.

Results Women in the study group were between 20-70 years. 50% belonged to 41-50 years of age. Hysterectomy was predominantly performed in para two and para three cases. Commonest presenting symptom was abnormal menstrual flow (62%). Commonest indication for hysterectomy was dysfunctional uterine bleeding (DUB) (30%), fibroid (23%) and prolapse (20%). Abdominal hysterectomy (63%) was performed more commonly than vaginal hysterectomy (37%). Complications are more common in abdominal hysterectomy than vaginal hysterectomy.

Conclusions Women aged between 41-50 years with multiparous status were commonly affected. Abnormal menstrual flow was the commonest presenting complaint. Commonest indications for hysterectomy were dysfunctional uterine bleeding. Abdominal hysterectomies were commonly done than vaginal hysterectomy.