Hospital based analysis of 204 cases of hysterectomies with evaluation of the route of surgery and complications rates

Hospital based analysis of 204 of hysterectomies with evaluation of the route of surgery and complications rate

Abstract

Introduction: Hysterectomy is one of the most common operations performed by gynecologist.There are several techniques for hysterectomy such as Laparascopically Assisted Vaginal Hysterectomy and total vaginal hysterectomy are advances procedures for woman requiring hysterectomy. Infection, hemorrhage and injury to the adjacent organ are the most common complications of hysterectomies. In this study the route of hysterectomy and the complication rates in our hospital were evaluated.
Methods and material: This study was carried out on 226 patients who were underwent hysterectomies in Amir Hospital, Semnan, Iran.The route of hysterectomy, causes of surgery, and preoperative and early postoperative complications were evaluated.
Results: Among 204 cases of hysterectomies the route of operation were Abdominal in 183 patients (89/70%) , vaginal 11patients ( 5/39%) and laparoscopic assisted vaginal hysterectomies 8 patients (3/92%).There were 6 cases of urinary tract infection( 3/27%.) , 3 bladder injury (1/6%) 2 wound infection (1/09%) ,and 16 post operative fever occured (8/74%) following abdominal Hysterectomies.One case of urinary tract infection (9/09%) in vaginal hysterectomy. Significant difference between the hematocrit level before and after surgery in abdominal and vaginal hysterectomy groups were present (P=0.000) But the difference in LAVH group was not significant (p=0.054).
Conclusion: The most common route of hysterectomy in our practice was abdominal. Post operative fever, urinary tract infection and bladder injury were the most complications respectively.