clinic-pathologic correlation of elective abdominal hysterectomy at teaching hospital Khairpur, Pakistan

ABSTRACT

To study the clinical indication and common pathologies identified on specimen, and complications associated with this procedure. This prospective observational study was carried out at Department of Obstetrics and Gynaecology, Ghulam Muhammad Mahar Medical College Teaching Hospital Khairpur [Shaheed Muhtarama Banazir Bhutto Medical University Larkana Sindh, Pakistan] during one year period from 1[st] May 2010 to 30[th] April 2011. All abdominal hysterectomies performed during this period were studied for the following variables The primary clinical indication, the histological diagnosis and complications associated with this procedure. Data was collected on pre-designed Performa and analyzed on SPSS version 15. Total number of patients admitted during study period were 5580. Of these, 2280 [40.86%] had the gynecological problems, of these 2280 patients, 820 [35.96%] required surgery. Two hundred ninety women underwent major surgery which included elective abdominal hysterectomy in 150 [51.72%] patient. Peak age incidence was in 35-60 years. In 97% cases indication were for benign conditions. Menstrual disorders were the major clinical indication of hysterectomy while uterus leiomyoma were the common pathology confirmed. There was no mortality associated with the procedure. Menstrual disturbance was leading indication of hysterectomy and leiomyoma was the commonest pathology found on hysterectomy specimen