GYNAECOLOGICAL HYSTERECTOMIES

CAN AUDIT CHANGE THE CLINICAL PRACTICE? AN AUDIT

Abstract

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.