Indications of Abdominal Hysterectomy

Objective: To study the indications of abdominal hysterectomy. Study Design: Retrospective review. Place and Duration of Study: Community Medicine Department of Wah Medical College and Pakistan Ordnance Factory’ Hospital Wah Cantt, for three years and four months , from 1st September 2008 to 9th January 2012. Materials and Methods: Retrospective study of the record of 498 operated cases for abdominal hysterectomy was done. Data was analyzed with the help of SPSS version 17. All operated cases of abdominal hysterectomy were included and a case of incomplete depiction was excluded. Results: Out of 497cases of abdominal hysterectomy, 438 (88.13%) undergone the surgery because of Dysfunctional Uterine Bleeding (DUB) and 40 (8.05%) because of Leiomyoma. Other indications were obstetric complications 5(1%), Pelvic Inflammatory Diseases 3 (0.6%). Two cases (0.4%) of each; Mentally retarded, Ovarian Cyst, Ovarian Mass and Malignancy(CA cervix and CA ovary)were also subjected to hysterectomy. Conclusion: In this study most of the cases were of Dysfunctional Uterine Bleeding (DUB). Next to it was Leiomyoma (8.05%).This large proportion of DUB (88.13%) is much higher than the proportion of this indication in quoted studies. This fact entails into the recommendation of annual audit or review of the indications of abdominal hysterectomy on periodic basis.