A Study of Patients Undergoing Abdominal Hysterectomy in Tertiary Care Institute

被引:0
作者
Dhobale, Anupama V. [1 ]
Kohale, Mangesh G. [2 ,3 ]
Bankar, Nandkishor J. [4 ]
机构
[1] Datta Meghe Inst Higher Educ & Res, Datta Meghe Med Coll, Obstet & Gynaecol, Nagpur, India
[2] Datta Meghe Inst Higher Educ & Res, Datta Meghe Med Coll, Pathol, Nagpur, India
[3] Datta Meghe Inst Higher Educ & Res, Pathol, Nagpur, India
[4] Datta Meghe Inst Higher Educ & Res, Jawaharlal Nehru Med Coll, Microbiol, Wardha, India
关键词
adenomyosis; dysfunctional uterine bleeding; menstrual abnormality; uterine fibroids; abdominal hysterectomy; VAGINAL HYSTERECTOMY; COMPLICATIONS;
D O I
10.7759/cureus.33818
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Hysterectomy is one of the most common surgical procedures performed. Patient education, compliance, and socioeconomic status are important determinants in choosing the mode of treatment; however, medical treatment is usually inadequate. Thus, in the present study, we tried to study the various profiles of patients undergoing abdominal hysterectomies reported in tertiary care centers. Materials and Methods Brief clinical data were noted from the case records, which include age, parity, presenting symptoms, past surgical and medical history, hemoglobin status, preoperative dilatation and curettage, and indications of hysterectomy. Results Most hysterectomies were performed on women between the ages of 41 and 45, with the average parity being 3.2 and the majority of cases having three children. Abnormal vaginal bleeding associated with various forms of menstrual irregularities was the most common complaint for which patients sought advice, and the incidence of patients undergoing tubal ligation was the most common previous surgery procedure, with anemia being the most common preoperative-associated condition. The fibroid was the most common demonstration in the current study, which brought forth abdominal hysterectomy for the chosen participants. Conclusion Findings from the current study suggest abdominal hysterectomy to be the most preferred route of surgery commonly in the women of age group 40 to 45 years or higher, precisely due to the occurrence of a higher parity rate in this age category. Fibroid uterus, dysfunctional uterine bleeding, and the presence of other menstrual complaints were the most probable indications for abdominal hysterectomy demonstrated by the individuals in the present study. Moreover, anemia was the most predominant complication associated pre-operatively, followed by other clinical manifestations such as hypertension, diabetes mellitus, and urinary tract infection.
引用
收藏
页数:8
相关论文
共 13 条
  • [1] 10-YEAR REVIEW OF HYSTERECTOMIES - TRENDS, INDICATIONS, AND RISKS
    AMIRIKIA, H
    EVANS, TN
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1979, 134 (04) : 431 - 437
  • [2] Benrubi G I, 1988, J Fla Med Assoc, V75, P533
  • [3] An audit of indications and complications associated with elective hysterectomy at a public service hospital in South Africa
    Butt, Jennifer L.
    Jeffery, Stephen T.
    Van der Spuy, Zephne M.
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2012, 116 (02) : 112 - 116
  • [4] Chan Y. G. S., 1993, Singapore Medical Journal, V34, P337
  • [5] INDICATIONS FOR AND OUTCOME OF TOTAL ABDOMINAL HYSTERECTOMY FOR BENIGN DISEASE - A PROSPECTIVE COHORT STUDY
    CLARKE, A
    BLACK, N
    ROWE, P
    MOTT, S
    HOWLE, K
    [J]. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1995, 102 (08): : 611 - 620
  • [6] COMPLICATIONS OF ABDOMINAL AND VAGINAL HYSTERECTOMY AMONG WOMEN OF REPRODUCTIVE AGE IN THE UNITED-STATES
    DICKER, RC
    GREENSPAN, JR
    STRAUSS, LT
    COWART, MR
    SCALLY, MJ
    PETERSON, HB
    DESTEFANO, F
    RUBIN, GL
    ORY, HW
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1982, 144 (07) : 841 - 848
  • [7] Hysterectomy rates in the United States 1990-1997
    Farquhar, CM
    Steiner, CA
    [J]. OBSTETRICS AND GYNECOLOGY, 2002, 99 (02) : 229 - 234
  • [8] Hysterectomy: Improving the patient's decision-making process
    Gambone, JC
    Reiter, RC
    [J]. CLINICAL OBSTETRICS AND GYNECOLOGY, 1997, 40 (04) : 868 - 877
  • [9] Kapoor N, 2011, J OBSTET GYNAECOL IN, V60, P429, DOI [10.1007/s13224-010-0071-7, DOI 10.1007/S13224-010-0071-7]
  • [10] Mahmood S, 2015, Mymensingh Med J, V24, P521