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A Study of the Profile of Hysterectomy Acceptors in Rural Bangalore
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Introduction: Uterus, a vital reproductive organ is subjected to many benign and malignant diseases. Many treatment options are available including medical, conservative and surgical approach, but still hysterectomy remains the most common gynecological procedure performed worldwide
Objectives:
1. To describe the profile of hysterectomy cases
2. To evaluate the various indications of hysterectomy
3. To evaluate the various pathological findings
Methodology: Study was conducted in M.V.J medical college and research hospital, Bangalore rural using a predesigned and structured questionnaire. Patients in the Gynecological wards who have undergone Hysterectomy from the period 2010 January to 2011 June were the study subjects.
Results: A total of 293 subjects were interviewed, findings are as follows, mean age of hysterectomy cases is 44 ± 9.9, majority of the cases were in the age group 35-45 years. Common indications of hysterectomy are Uterine prolapse (36%), fibroid (21%), dysfunctional uterine bleeding (17%). Significant pathological findings are Cervicitis(52%), Leiomyoma(12%), Adenomyosis(9%). Information about risk factors for cervical cancer revealed the following. Mean parity is 3, Regular Pap smear test was done in only 1.3% of the cases, none of them were aware about HPV vaccination. None of them reported about multiple sexual partners and STDs. About 1.7% of the study subjects reported that their partners had undergone circumscion, OCP usage for more than 8 yrs was seen in 6.1% of the cases. Poor birth spacing was seen in 33%, poor personal hygiene was reported in 37% of the cases.
Conclusion: As 52% of the study subjects reported cervical inflammation as the pathology findings. Regular cervical cancer screening programmes must be emphasized such as regular Pap smear test should be conducted in women of reproductive age group,
Keywords
- Qamar-ur-Nisa, Habibullah, Shaikh TA et-al. Hysterectomies; an audit at Tertiary Care Hospital. Professional Med J, Mar 2011; 18(1): 46-50
- Steven J. Bernstein, Mary E. Fiske, Elizabeth A. McGlynn et-al, Hysterectomy: A review of the literature on indicatins, effectiveness, and risks, published by Rand, California, 1997
- Singh.A, Arora.A.K, Profile of Hysterectomy cases in rural north India. The Internet Journal of Gynecology and Obstetrics. 2007; 7(1)
- Santiago Domingo, Antonio Pellicer. Overview of Current Trends in Hysterectomy:Indications for Hysterectomy. Expert Rev of Obstet Gynecol, 2009; 4(6):673-685
- Shakira Perveen, Subhana Tayyab. A clinicopathological review of elective abdominal hysterectomy. Journal of Surgery Pakistan, March 2008; 13(1): 26-29
- ThamilselviRamachandran, PammySinha, Subramanium. Correlation between clinicopathological and ultrasonographical findings in hysterectomy. Journal of Clinical and Diagnostic Research, 2011 August; 13(5) :737-74
- Gupta G, Kotasthane D, Kotasthane V. Hysterectomy: A Clinico-Pathological Correlation of 500 cases. The Internet Journal of Gynecology and Obstetrics, 2010; 14(1)
- Sapna Desai, Tara Sinha, Ajay Mahal. Prevalence of hysterectomy among rural and urban women with and without health insurance in Gujarat, India. Available at http://findarticles.com/p/ articles/mi_hb264/is_37_19/ai_n57684475/
- Ahsan S, Naeem S, Ahsan A. A Case Notes Analysis of Hysterectomy performed for Non- Neoplastic Indications at Liaquat National Hospital, Karachi. Journal of Pakistan medical association available at http://www.jpma.org.pk/full_article_text.php?article_id=2756 accessed on 3/12/2011
- Hitchcock A, Johnson J, McDowell K et-al. A retrospective study into the ccurrence of cervical glandular atypia in cone biopsy specimens from 1977–1978 with clinical follow-up. International Journal of Gynecological Cancer, (1993); 3: 164–168
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