Fouzia Yasmeen.
The Inevitable need of Hysterectomies in Gynaecological Procedures.
Pak J Med Health Sci Jan ;12(3):1139-42.

Aim: To determine indications of hysterectomies in our hospital besides different routes of procedures and their histo-pathologies. Methods: Present study was conducted in Department of Gynaecology and Obstetrics, Ghurki Trust Teaching Hospital, Lahore, Pakistan in 18 months ( January 2016 to July 2017 ). A total number of hundred hysterectomies for different indications were analysed. Results: Main indications under study were heavy menstrual bleeding (Menorrhagia ) 42%, Abnormal Uterine bleeding ( 19%) and mostly fibroids 22% presented as abdominal and pelvic masses 15 and 7 respectively. The woman undergoing surgery were mostly para 4 and 5 (53% ) in 41 to 50 years ages (59%). Abdominal hysterectomy being the most favoured procedure (75 %) followed by Vaginal (17 %) and Laparoscopic hysterectomy only 2%. The histological findings were uterine fibroids , Dysfunctional Uterine Bleeding (DUB) and Adenomyosis 41, 15 & 13 % accordingly , whereas malignant disease was detected in 4 patients. Conclusion: In developing countries, Hysterectomy still remains the widely accepted treatment modality. The leading indication is menstrual disturbance though the commonest pathology is leiomyoma.

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