COMMONEST INDICATION AND COMPLICATIONS IN CASES OF HYSTERECTOMIES PERFORMED IN COMBINED MILITARY HOSPITAL RAWALPINDI

Hysterectomies

Abstract

Objective: To outline major indications and post operative complications in patients undergoing hysterectomy with a benign condition in Combined Military Hospital (CMH) Rawalpindi.
Study Design: A descriptive study
Place and Duration: The study was carried out in the department of obstetrics and gynaecology CMH Rawalpindi from January 2008 to January 2010.
Material and Methods: A total of 321 patients were selected for enrollment in study out of 510 hysterectomies done in Combined Military Hospital Rawalpindi for various indications. The age of the women ranged between 40-65years. Among the indications were dysfunctional uterine bleeding (DUB), uterine fibroids, post menopausal bleeding and uterovaginal prolapse. All other cases with advanced pelvic malignancies and endometriosis were excluded. Record was maintained with detailed profile of all the patients. Operative findings and complications were recorded in profile data by principal investigator and co-researchers.
Results: Dysfunctional uterine bleeding remained the top most indication of hysterectomy (45 %) and the complication rate remained 8.7%.
Conclusion: With DUB as the commonest cause of the hysterectomy, the researchers need to work more in medical conservative techniques to avoid surgical morbidity, associated with hysterectomy.