Farah Yousaf, Sofia Tabassam, Noreen Rasul.
Gynaecological hysterectomies. can audit change the clinical practice? an audit.
Professional Med J Jan ;23(06):746-9.

Objective: To evaluate the indications, complications and justifications of hysterectomy. Period: One year, from 1st January to31st December 2015. Setting: Gynae and Obstetrics Department Unit 2 of SIMS Lahore. Methodology: This study included all gynecological hysterectomies. Most hysterectomies were done through abdominal route (84%), followed by vaginal (16%). Most common indication for hysterectomy was fibroid uterus (50.45%), followed by adenomyosis, 9.17% and uterovaginal prolapse (15.59%). Complication rate was 7%, it included hemorrhage, infection and injury to surrounding organs. Hysterectomy was justified in 92% cases. Conclusion: Hysterectomy is used to treat HMB, and it improves quality of life. However it is associated with certain degree of morbidity and mortality. So alternative conservative method should be discussed /tried before hysterectomy.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com