Zille Huma, Aasma Naeem, Maryam Shoaib, Shumaila Fayyaz, Arjumand.
A Clinicopathological Review of Elective Hysterectomies in Sir Ganga Ram Hospital.
Pak J Med Health Sci Jan ;6(4):970-2.
Objective: To audit indications and histopathological diagnosis of gynaecological hysterectomies. Study design: Retrospective study. Place and duration of study: Department of Obstetrics & Gynaecology, Unit-ll, Sir Ganga Ram Hospital, Lahore. From 1st January 2011 to 31st December, 2011. Methodology: Data regarding patient characteristics and indications of gynaecological hysterectomies performed during one year was collected from files and patients records.. Results: Total of 588 hysterectomies was performed in the year 2011. The ratio of abdominal to vaginal hysterectomy was 5:1. Mean age of patients was 45 years (range 35–65 years) and parity ranged from zero to eight. Most common presenting complaint was excessive menstrual blood loss in 275 patients (46.7%) followed by something coming out of vagina in 111 patients (18.8%). Majority of indications were benign. Most common preoperative diagnosis was fibroid uterus in 211 patients (35.8%) followed by dysfunctional uterine bleeding in 158(26.8%). Conclusion: A yearly audit should be conducted in every institute to analyze the pattern of indications and lesions found on histopathological examination.
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