Evaluation of indications of hysterectomy in Kosar Teaching Hospital

M Badiei

Journal of Inflammatory Diseases

The Official Journal of Qazvin University of Medical Sciences

Current Issue All Issues In Press Accepted Manuscripts Search

Journal Information Editors & Boards Indexing and Listing Sources Reviewer and AE Registration Form Journal Metrics Open Peer Review (OPR)Publication Ethics and Publication Malpractice Statement Support Contact Us

Authors Guide Submit Manuscript

Evaluation of indications of hysterectomy in Kosar Teaching Hospital

Author(s):

M Badiei^,*

Journal of Inflammatory Diseases:Vol. 4, issue 3; 67-73

Article type:Research Article

How to Cite:M BadieiEvaluation of indications of hysterectomy in Kosar Teaching Hospital.J Inflamm Dis.4(3):e154731.

Abstract

Abstract Background: Hysterectomy is the most common major obstetric gynecological operation. Objective: To evaluate indications of hysterectomy. Methods: Retrospective study of hysterectomies was performed in Kosar teaching hospital from 1995 till 1998, excluding cesarean hysterectomies. Findings: Of 369 hysterectomies, 96 cases (26%) were vaginal and 273 (74%) were abdominal. Indications for all vaginal hysterectomies were uterine prolapse. The most common symptom in abdominal hysterectomies was vaginal bleeding. Final pathologic reports in order of prevalence included: myoma, normal, adenomyosis, glandular hyperplasia, polyp, simple hyperplasia and cancer of endometrium. In almost half of the cases of TAH, preoperative indications were appropriate (49%). Of 51% of cases with inappropriate preoperative indications, 26% had pathology in uterus (E.g adenomyosis) and the remaining 25% had no organic lesion in final pathologic report. Positive and negative predictive values of clinical diagnoses were 0.75±0.04 and 0.49±0.05 respectively, (P=0.05). Conclusion: To prevent unnecessary hysterectomy, accurate preoperative evaluation, understanding of gynecologic pathology and knowledge of new alternative medical and surgical modalities are essential.

Keywords

Keywords: Hysterectomy

Indications

comments