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Clinico-Pathological Study of 100 Hysterectomies

Vijay Vitthal Reelkar , Purva Vijay Reelkar1 , Vijay Vitthal Reelkar2

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Indian Journal of Obstetrics and Gynecology 9(1):p 17-21, January–March 2021. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.9121.2

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Purva Vijay Reelkar, Vijay Vitthal Reelkar/Clinico-Pathological Study of 100 Hysterectomies/Indian J Obstet Gynecol. 2021;9(1):17–21.
 

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Abstract

Background: Uterus is a very vital reproductive organ and is subjected to many benign and malignant diseases. Hysterectomy is one of the most frequently performed procedures all over the world. This is a retrospective study to evaluate the sensitivity between the indications, demographic features, clinical presentations, intra operative findings and histopathological diagnosis of patients who underwent hysterectomy. Methods: This study was conducted in the Shraddha hospital, Chiplun, Maharashtra, India. 100 patients were selected randomly. Data was recorded and analyzed from the case record of each patient, which was obtained from the medical record department of the hospital. Results: Abdominal hysterectomy was performed in 84% cases while vaginal hysterectomy accounted for 16% cases. The mean age for hysterectomy was 45 years with a range from 31 to 70 years. (Table no 1) Patients mostly presented with menstrual complaints i.e. menorrhagia and dysmenorrhoea (62%) followed by prolapse uterus (16%). (Table no 2) The principle indication of elective hysterectomy was leiomyoma and was present in 37% patients, followed bydysfunctional uterine bleeding (DUB) in 28 % patientsand prolapse uterus in 16%. (Table no 3)Maximum numbers of cases of leiomyoma and DUB were found in age group of 41-50 yrs. Postoperatively nausea and vomiting was experienced by 31.5% of patients, whereas 22.8% of the patients had urinary tract infection. No major post operative complications were observed. Conclusion The number of abdominal hysterectomy was more than vaginal hysterectomy. Most common presenting feature was menstrual related symptom followed by prolapsed. The main indication for elective hysterectomy was leiomyoma, prolapsed and DUB.

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Cite this article

 

Purva Vijay Reelkar, Vijay Vitthal Reelkar/Clinico-Pathological Study of 100 Hysterectomies/Indian J Obstet Gynecol. 2021;9(1):17–21.
 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.9121.2

Keywords

Hysterectomy; Menorrhagia; DUB; Leiomyoma; Prolapse.

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