An Audit of Hysterectomy at Jinnah Postgraduate Medical Centre, Karachi

Abstract

Objective: To find out frequency of different types of hysterectomies and its intra and postoperative complication.

Methodology:  This retrospective review of record study was conducted at Jinnah post graduate Medical centre, from Jan 2020-Dec 2020 in which Details of patients were obtained from medical record registers and files of patients  during the year 2020 who underwent hysterectomies of any type for any reason whether benign or malignant gynecological disorders or obstetrical reasons, their demographic features, indications and intra and postoperative complications were noted on pre designed Performa.

Results: Total 260 hysterectomies were performed. About 154(59.2%) abdominal   hysterectomies were performed for different benign and malignant gynecological reasons, vaginal hysterectomies in 27(10.38%) patients and obstetrical hysterectomies in 79 (45.0%) of patients. 146 (56.1%) majority of patient were found in age group of 36-50year. Most common gynecological indication was fibroid uterus 55(22.1%) and second common indication was in UV prolapse in 27(10.3%) cases. Most common indication of obstetrical hysterectomy was morbidly adherent placenta in 68(26.1%) of patients. Iatrogenic Bladder injuries were 10(3.8%).Ureteric injuries were found in 2(0.8%). Iatrogenic gut injuries were observed in 5(1.9%) patients. Post operative wound infections were noted in 10(3.8%), vaginal infections in 4(1.5%), paralytic ileus in 5(1.9%) and burst abdomen was found in 2(0.8%) cases.

Conclusion: In conclusion, the procedure “Hysterectomy” is expected to have intra and postoperative complication especially if it is done for morbidly adherent placenta and malignant ovarian tumors and patients with previous surgeries, this complication can be dealt effectively with multidisciplinary approach to avoid long lasting consequenceies.