Clinicopathological Analysis of Hysterectomies in a Tertiary Care Hospital

Abstract

Aim: The aim of this study was to find out the common type of surgery performed, common age group affected, clinical presentation of the cases and the different clinical indications and its corresponding histopathological diagnosis for hysterectomy and to correlate them.

Materials and Methods: A retrospective study involving 67 cases undergoing hysterectomy for clinically benign conditions were included over a period of 7 months in the department of Obstetrics and Gynaecology in a tertiary care centre. All women undergoing both vaginal and abdominal hysterectomy were included in this study. Detail clinical data, indications for hysterectomy, type of surgeries were recorded and the specimen stored in formalin was sent for histopathological analysis. Histopathological reports were collected from the department of Pathology and the data were compiled and analysed.

Results: Common age group affected belonged to 40-49 years [58.2%]. Abnormal uterine bleeding was the common presentation [52.24%]. Frequent indication for hysterectomy was fibroid uterus [50.75%]. The major route of surgery was Total Abdominal Hysterectomy [74.63%]. Leiomyoma was the commonest pathology [53.73%] in the histopathology report and the correlation between histopathology diagnosis and the clinical indication was up to 94.44%.

Conclusion: The commonest clinical presentation is abnormal uterine bleeding and fibroid uterus is the frequent indication of hysterectomy, the common type of surgery is total abdominal hysterectomy and the common age group affected is between 40-49. The clinicopathological correlation between the clinical indication and the histopathological report is high thus proves that the histopathological analysis is highly essential to confirm and prove the clinical diagnosis. Hence the specimens after procedure must be subjected to histopathology examination to confirm the absolute pathological diagnosis.