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West Afr J Med. 2005 Jan-Mar;24(1):31-5.

Elective hysterectomy: a clinicopathological review from Abha catchment area of Saudi Arabia.

Author information

  • 1Department of Obstetrics & Gynaecology, College of Medicine, King Khalid University, Abha, Saudi Arabia.

Erratum in

  • West Afr J Med. 2005 Jul-Sep;24(3):189. Eskander, M [corrected to Eskandar, M].

Abstract

OBJECTIVE:

To review the major indications, types and clinicopathological features of elective hysterectomy managed in our locality.

MATERIAL AND METHODS:

A retrospective study of 317 consecutive patients who had elective hysterectomy performed for various indications during the study period from January 1994-December 2001,(96 months) was conducted. The patients were divided into 3 groups: Group 1, total abdominal hysterectomy(TAH) 165 (52%); Group 2: subtotal abdominal hysterectomy(STAH) 59(18.6%) and Group 3: vaginal hysterectomy (VH),93 (28.4%). Data extracted from the case files included age, parity, presenting symptoms and indication for hysterectomy. Others included relevant investigation results, type of hysterectomy, and histopathological diagnosis of the specimens

SETTING:

Abha Maternity Hospital, Abha, Saudi Arabia.

RESULTS:

No statistically significant trend was found in the annual number of hysterectomies performed during the study period (p > 0.05). There was statistically significant difference in the mean age in the 3 groups of patients (p < 0.05), but none in the parity (p > 0.05). Menorrhagia and abnormal vaginal bleeding was the indication for hysterectomy in 123(38.8%) patients, followed by uterine prolapse in 91(28.7%), abdominopelvic mass, 48 (15.1%) and pelvic mass in 46 (14.8%). Histopathology of hysterectomy specimens and appendages were reported as abnormal in 179 (56.4%), with uterine fibroids the most common pathology in 82 specimens (25.8%) followed by adenomyosis in 72 specimens(22.7%).

CONCLUSION:

Uterine fibroids and adenomyosis were the most common benign conditions in hysterectomy specimens in our community with peak incidence at 41-50 years, while endometrial and ovarian cancers peaked at the same age group. At the same time, vaginal hysterectomy was performed exclusively for utero-vaginal prolapse.

PMID:
15909707
[PubMed - indexed for MEDLINE]
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