An Analysis of Hysterectomy in A Tertiary Care Centre

Abstract

Background: Hysterectomy is one of the most common surgical procedures performed in gynecology, typically indicated for various benign and malignant conditions. This study aims to explore the distribution of hysterectomies based on patient characteristics, indications, types of hysterectomy, and histopathological findings, providing insights into surgical decision-making and postoperative outcomes. Methods: The study was conducted as a retrospective analysis of hysterectomies performed in the Department of Obstetrics and Gynecology at a tertiary care center from January 2022 to January 2023. The sample (N=103) consisted of women who underwent hysterectomies for both benign and malignant gynecological conditions. Data were systematically reviewed and categorized based on the type of hysterectomy, including abdominal, vaginal, and laparoscopic hysterectomy. Statistical analysis was performed using SPSS version 26, with descriptive statistics. Result: The majority of women aged 40-49 years (49.5%). Most women (40.8%) had 2-3 children, and abnormal uterine bleeding (AUB) was the most common complaint (19.4%). The most common indications for hysterectomy were fibroid (35.9%) and adenomyosis (35.0%), followed by abnormal uterine bleeding (23.3%) and postmenopausal bleeding (8.7%). Histopathologically, adenomyosis (63.1%) and leiomyoma (54.4%) were the most prevalent findings, with chronic cervicitis (38.8%) and atrophic endometrium (8.7%) also commonly observed. Total Abdominal Hysterectomy with Bilateral Salpingo-Oophorectomy (TAH-BSO) was the most common procedure (71.8%). Conclusion: The study found fibroids and adenomyosis as the leading indications for hysterectomy, with AUB and PMB also common. Histopathology confirmed adenomyosis and leiomyoma as the most frequent findings. Most patients underwent Total Abdominal Hysterectomy with Bilateral Salpingo-Oophorectomy (TAH-BSO).