An analysis of elective hysterectomies at a tertiary care center in Karnataka

Abstract

All over the world hysterectomy is the most common surgery performed in women next only to caesarean section. It is the effective treatment option for many gynaecological conditions. It has significant associated complications. Aim and objective of this study was to analyze the indications, route of hysterectomy and associated complications.Method: A retrospective study was conducted from January 2017 to December 2018 in department of Obstetrics and Gynaecology at SS Institute of Medical sciences and Research Centre, Davangere. A total of 300 hysterectomy patients were studied and parameters like age, parity, indication of hysterectomy and the type of hysterectomy, complications during and after the surgery were collected from the records and analyzed.Results: A total of 300 hysterectomies were done during the study period. Out of this, 220 (73.6%) were abdominal, 68(22.6%) were vaginal and 12(3.8%) were laparoscopic hysterectomies. Most common indication was symptomatic fibroid uterus (47.3%) and majority of the patients (48.3%) were in the age group of 41 -50 years. Overall complication rate was 14.3 %.Conclusion: Although hysterectomy is the definitive treatment for many gynaecological conditions, it is not risk free. Hence indication should be carefully evaluated. Patients should be counselled properly before this major surgery.