Objectives: Hysterectomy is most common gynaecological surgery next to cesarean section. This study has been designed to identify the indications and methods of hysterectomy for Abnormal uterine bleeding (AUB) based on PALM – COEIN classification, with the histopathological correlation in a tertiary care hospital.
Methodology: This is the retrospective study based on patient’s case records, admitted between 2015 – 2018 in obstetrics and gynaecology department, Government General hospital, Rangaraya Medical College, Kakinada. 100 AUB patients who have undergone hysterectomy, are categorised as per methods and indications as PALM – COEIN classification were selected for study. Data recorded before and after operation in the case sheets, entered in excel sheet, analysed with SPSS version16 for statistical significance.
Results: In the present study of n= 100 subjects who were treated with hysterectomy for AUB were studied. Total abdominal hysterectomy (TAH) was the most common method and Leiomyoma (75%) of the uterus found to be major indication of hysterectomy followed by endometrial dysfunction, polyp, adenomyosis, malignancy. Mean duration of hospital stay was 7 to 8 days. Most common postoperative complication was wound infections followed by fever and urinary tract infections. There was no mortality.
Conclusion: Total abdominal hysterectomy was the most common method of hysterectomy. Most common indication for hysterectomy as per PALM – COEIN classification is leiomyoma. Post-operative complications were more with TAH.