A clinicopathological review of elective hysterectomies in Sir Ganga Ram Hospital

Objective: to audit indications and histopathological diagnosis of gynaecological hysterectomies. study design: retrospective study. place and duration of study: department of obstetrics & gynaecology,unit-ll,sir ganga ram hospital,lahore. from 1st january 2011 to 31st december,2011. methodology: data regarding patient characteristics and indications of gynaecological hysterectomies performed during one year was collected from files and patients records. results: total of 588 hysterectomies was performed in the year 2011. the ratio of abdominal to vaginal hysterectomy was 5:1. mean age of patients was 45 years (range 35-65 years) and parity ranged from zero to eight. most common presenting complaint was excessive menstrual blood loss in 275 patients (46.7%) followed by something coming out of vagina in 111 patients (18.8%). majority of indications were benign. most common preoperative diagnosis was fibroid uterus in 211 patients (35.8%) followed by dysfunctional uterine bleeding in 158(26.8%). conclusion: a yearly audit should be conducted in every institute to analyze the pattern of indications and lesions found on histopathological examination.