Shakira Perveen, Subhana Tayyab.
A clinicopathological review of elective abdominal Hysterectomy.
J Surg Pak Jan ;13(1):26-9.

Objective: To review correlation between indications and histopathology of elective abdominal hysterectomy. Study Design: Descriptive study. Place and Duration of study: Lyari General Hospital, Dow University of Health Sciences Karachi from June 2005-to May 2007. Patients and Methods: Data including age, parity, presenting symptoms and indications for hysterectomy was extracted from files and histopathology of all hysterectomy specimens was collected for detailed study. Results: During 2 years a total of 54 elective abdominal hysterectomies were performed. Abdominal hysterectomy rate was 4.4 /1000 during study period. In 97% indications were for benign conditions. Peak age incidence was 41-50 years and peak parity was 4-6. In 27.7 % indication for hysterectomy was menstrual problem followed by leiomyoma in 22.2 %. On histopathology of uterus in 59.2 % leiomyoma and in 24% adenomyosis were confirmed. There was no mortality associated with the procedure. Conclusions: Menstrual disturbance is leading indication of hysterectomy and leiomyoma is the commonest pathology. Adenomyosis is main cause of menstrual problem .

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