Incidence of Hysterectomy in Tertiary Care Center: an Audit based Retrospective Study

Abstract

Background: Hysterectomy involves partial or complete removal of the uterus. In India, the exact health status in hysterectomy surgery is not clear which is due to the lack of information in large-scale health surveys at the national level. This study is designed to review the safety and efficacy of different methods used in hysterectomy procedures. Methods: A retrospective study was done between May-2021 to July-2021 on women with hysterectomy surgery. In this study 30 cases of different hysterectomies namely Total Abdominal hysterectomy (TAH), laparoscopic-assisted vaginal hysterectomy (LAVH), total Laparoscopic hysterectomy (TLH) and Vaginal Hysterectomy (VH) were included and their clinical presentations, indications and complications were studied. Results: This study revealed that most of the hysterectomy were carried out between 40-50 years of age and abnormal uterine bleeding with fibroid uterus was found as the common indication for hysterectomy in a total of 14 cases. Moreover, hysterectomy by Laparoscopic route is observed as the safe method as there were no post-operative complications recorded in all 22 cases. Conclusion: Finally, this study revealed that hysterectomy should be done under the supervision of trained and experienced surgeons with good hospital facility which helps in the fast recovery of cases and also decrease the post-operative stay in hospitals.