Audit of gynaecological hysterectomies

Aim: to audit indications,complications and histopathological diagnosis of gynaecological hysterectomies performed at lady aitchison hospital lahore. study design retrospective study place and duration of study: department of obstetrics and gynaecology unit 4,lady aitchison hospital,lahore from march 1,2012 to march 31,2013. methodology: all patients who underwent hysterectomies during the study period for gynaecological indications were included. data from these cases was extracted on a specially designed performa which included fields for patient's age,parity,presenting complaints,indications,route,type of anaesthesia,operative complications,duration of hospital stay and histopathological findings. the histopathological reports were collected from the department of pathology. the data was analysed by using percentages. results: a total of 150 hysterectomies were performed during the study period. the ratio of abdominal to vaginal hysterectomies was 2:1. mean age of the patient was 45 years and the parity ranged from 0-10. most common presenting complaint was menorrhagia (40.6%) followed by genitalprolapsed (36%). most of the complaints were benign. most common preoperative diagnosis was fibroid uterus in 53% followed by genital prolapse in 40%. the most common histopathological diagnosis made was that of fibroid in 48%. the commonest incidental findings in hysterectomy specimens was chronic cervicitis. most of hysterectomies were performed under spinal and combined spinal epidural anaesthesia withsmooth postoperative recovery. conclusions: an yearly audit should be carried out in every institute to analyse the pattern of indications and lesions found on histopathological examination. the clinical indication for hysterectomy and histopathological outcome are comparable in over 90% of the cases.