Frequency of Benign Indications of Open Abdominal Hysterectomy in Tertiary Care Hospital

Abstract

Objective: This study aims to determine the frequency and indications of open abdominal hysterectomy for benign conditions in a tertiary care hospital, while also evaluating the appropriateness of these procedures and analyzing the internal quality of care.

Methodology: This descriptive prospective study was performed in the department of gynecology/obstetrics unit C, Ayub Teaching Hospital, Abbottabad from June 2022 to December 2022. After institutional ethical approval, all patients admitted for abdominal hysterectomy for benign conditions were included in the study by consecutive sampling. Age, parity and indications were noted. The data were analyzed using SPSS version 25, calculating means and frequencies. The indications for hysterectomies were stratified by age and parity, and post stratification analysis was performed using the chi-square test, considering a p-value of ≤0.005 as significant.

Results: Total of 140 patients were recruited during the study period. The mean age of the patients were 46.24 with SD±5.7, mean parity of 4.7 with SD ±2.2. Uterine leiomyoma was the most frequent indication at 50.7%, followed by dysfunctional uterine bleeding at 39.3%. Endometriosis, endometrial polyp and benign ovarian masses were 3.9%, 3.9%, and 2.9%, respectively.

Conclusion: Open abdominal hysterectomy is the most common gynecological procedure in our setting, and fibroid uterus and DUB are the most common benign indications. These findings contribute to our understanding of the prevalent indications for abdominal hysterectomy in our setting. Further research and evaluation of alternative treatment options may help optimize the care provided to women with these benign conditions, potentially reducing the need for hysterectomy.