REFINING THE DECISION FOR HYSTERECTOMY CASES REFERRED TO DEPARTMENT OF OBGY TERTIARY LEVEL CARE CENTRE

Dr. Shamrao Ramji Wakode, Dr. Neha Vijay Agrawal* and Dr Roshni Vinod Laddha

ABSTRACT

Background: The most commonest Gynaecological operation performed throughout the world is hysterectomy. Proper evaluation of cases and refining the decision for hysterectomy is required to prevent complications. Aim: To refine the decision about the need of hysterectomy and route of hysterectomy. Study Design: cross sectional study. Methodology: Cases were evaluated as regards to age & parity, symptoms & signs, indications for hysterectomy, surgical fitness, non-invasive & minimally invasive modalities of investigation & percentage of avoiding the hysterectomies. Results: 22 (36.67%) cases out of 60 required operative treatment and majority i.e. 38 (63.33%) could conserve their uterus by using various conservative management techniques, this would have definitely kept these women free of surgical menopausal symptoms which can be troublesome for these patients.

Keywords: Hysterectomy, Vaginal route, abdominal, laparoscopic hysterectomy, refining criteria.