Clinical profile of patients with benign gynecological disease subjected for hysterectomy
Author(s): Dr. Sushma S and Dr. Harini R
Abstract: More than 70% of hysterectomies are performed for benign surgical indications, including fibroids (33%), uterine prolapse (28%), menorrhagia (21%), and pelvic pain (3%). The first total laparoscopic hysterectomy was reported in 1989; this procedure has been associated with shorter hospital stay, faster recovery, and fewer postoperative infections compared with abdominal hysterectomy. All the patients attending Gynecology outpatient department with symptoms were assessed with history and clinical examination by the Consultant Gynecologist and investigated. Those requiring hysterectomy were analyzed by the Consultants for the approach depending on the indication for the surgery, nature of the disease and patient characteristics. In TAH group, 32 patients had previous history of surgery whereas in TLH group, 27 patients had history of surgery. There was no much difference in h/o LSCS between two groups. History of tubal ligation was more in group TAH (32%) compared to TLH (20%. In TAH group, patients with para1 were 28%, patients with para2 were 62%, patients with para3 were4% and nulliparous women were 6%. In TLH group, patients with para1 were 34%, patients with para2 were 52%, patients with para3 were4% and nulliparous women were 10%.
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