INDICATIONS OF HYSTERECTOMY IN TERTIARY LEVEL HOSPITAL IN RAJASTHAN

Dr. Umang Juneja and *Prof. Dr. Samta Bali Rathore

ABSTRACT

Introduction: Hysterectomy is the second most frequently performed major surgical procedures on women all over the world, next only to caesarean. This is a retrospective study done to correlate and evaluate the indications, demographic features, clinical presentations, post-operative findings and duration of stay in patients who underwent hysterectomy. Method: A descriptive retrospective case series study, was conducted in the department of Obstetrics and Gynaecology, in Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan over a period of one year, from 10th May, 2018 to 10th May 2019 which included 377 cases. Result: During the study period there were 377 cases of hysterectomies done in the institution. The Most common surgical approach was abdominal (62.33%), followed by vaginal (26.25%), and laparoscopic (11.40%) hysterectomy. Most common indication for hysterectomy was symptomatic fibroid uterus that presented with abnormal uterine bleeding (57.07%) and remaining with lower abdominal pain, pelvic/abdominal mass etc (9.81%), followed by uterovaginal prolapse (16.3%). Conclusion: Hysterectomy is used commonly to improve the quality of life; however, at times it is a lifesaving procedure. It is the preferred procedure in the treatment for pelvic pathologies like fibroid, adenomyosis, pelvic inflammatory disease and malignant disorder, and genital prolapse. Majority of the hysterectomy procedures are performed via an abdominal approach.

Keywords: Hysterectomy, Indications.