AN AUDIT OF HYSTERECTOMIES IN HMC PESHAWAR
DOI:
https://doi.org/10.52206/jsmc.2014.4.1.438-441Abstract
BACKGROUND: An audit of gynecological hysterectomieswas carried out in Gyne C department of
Obstetrics & Gynecology Hayatabad Medical Complex Peshawar. Among the patients admitted for
major Gynecological operations, those undergoing hysterectomy were entered in to study programme.
This study was carried out to assess the reasons and other related features of patients who underwent
hysterectomies in Gyne-C Unit of Hayatabad Medical complex, Peshawar.
METHODS: It was retrospective study of hysterectomies at Gyne C unit of Hayatabad Medical
Complex Peshawar, from January 2013 to December 2013. The indications for hysterectomy were
evaluated. Patients were studied and observed preoperatively, during surgery and postoperatively till
their stay in hospital. The follow up visit was also recorded with histopathology report after 6 weeks
RESULTS: The incidence of hysterectomy among major operations was almost 22%. Ratio of
abdominal to vaginal route was almost 6:1. The complication rate and postoperative hospital stay was
seen more in the former group. Most of the operations were done electively. Majority of indications
were benign in which surgery could have been avoided reflecting non availability of other effective
medical treatments.
CONCLUSION: There is a need to increase the number of vaginal hysterectomies for better outcomes.
But still with all these limitations in our setup hysterectomy proved curative and acceptable form of
therapy to most of the patients.
Key Words: Complications, Histopathology, Hysterectomy.
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