A Descriptive Study on Gynecological Indications of Hysterectomy Done at a Tertiary Care Hospital

R Keerthi, K Ramesh, T ramspsm@gmail.com Gangadhara Goud

Abstract


 

 Introduction: Hysterectomy is a common surgical procedure done to relieve many gynecological conditions. It is the only treatment option available for many causes and an optional procedure in a few conditions. As any surgical procedure is known to have its complications even hysterectomy has its own complicatios. Hence, before going for the invasive treatment options, women should always be offered newer, less invasive procedures, and minimize the long-term side effects following hysterectomy. Objectives: The objectives of the study were to know the symptoms, gynecological indications, and route of hysterectomy. Methods: A retrospective record-based descriptive study of 194 women who underwent hysterectomy at Vijayanagar Institute of Medical Sciences, Ballari, in the year 2018 and 2019 was carried out by adopting non-probability purposive sampling method, using pre-structured pro forma. Descriptive statistics used to describe age, religion, region, parity, indications, and route of hysterectomy and analyzed during January 20, 2020–March 30, 2020. Results: Of 194 cases, majority 46.39% were in the age of 31–40 years. 89.18% of the study subjects were Hindu by religion.74.74% were from rural region,56.19% were with parity 3 and 4. The most common symptoms were white discharge per vagina 34.53%, menorrhagia 28.35%, mass per vagina 23.71%, and pain abdomen 11.85%. In 70.1% of cases hysterectomy was performed through abdominal route. The most common indication for hysterectomy was chronic pelvic inflammatory disease (PID) and uterovaginal prolapse 29.38% each. Most of the women 79.90% stayed in hospital for more than 6 days. Conclusion: Most of the hysterectomies were performed in women with white discharge per vagina. Indication being PID and uterovaginal prolapse. Preferred rout was abdominal.

Key words: Gynecological, hysterectomy, pelvic inflammatory disease, uterovaginal prolapse


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