Clinical Audit of hysterectomies

This descriptive study was carried out at Gynae unit II Sir Ganga Ram Hospital, Lahore from lst January 2004 to 3151 December 2004. All patients who underwent hysterectomy due to various gynaecological reasons were evaluated; objective was to determine frequency of different types of hysterectomies, indications and correlation with age and parity. During the study period 78 hysterectomies were performed out of which 77%. Were abdominal. Vaginal route was opted in 23% of cases and all patients were having uterovaginal prolapse of various degrees. Fibroid uterus was the commonest indication of abdominal hysterectomies (55%) followed by dysfunctional uterine bleeding (25%). Majority of cases of fibroid were in low parity group and prolapse was observed in women of high parity. About 70% of hysterectomies were performed in patients above 40 years of age and about 67% were para three and above. Overall there was positive trend of hysterectomies with increasing age and parity. Medical management of many conditions can be a good alternative provided there is earlier consultation from trained professionals about gynaecological problems, ultimately decreasing the rate of hysterectomies.