HYSTERECTOMY IN EASTERN INDIAN MEDICAL COLLEGE

Abstract

Background :Hysterectomy is the surgical removal of the uterus, one of the most common surgical procedures performed. Patient complaints, compliance, and socioeconomic status are important determinants in choosing the mode of treatment; however when medical treatment is usually inadequate. Thus, in the present study, we tried to study the various profiles of indications patients undergoing abdominal hysterectomies reported in an eastern indian medical college. Material & Methods Brief clinical history 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 more than 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.