Indications and Prevalence of Hysterectomy for Benign Conditions at a Tertiary Care Hospital in Rural South India–A Descriptive Study

Abstract

This study aims to assess the indications and prevalence often various types of hysterectomy done for benign diseases. It was a retrospective descriptive study conducted at the Department of Obstetrics and Gynaecology in Saveetha Medical College and Hospital, Thandalam. Data about the hysterectomies done for benign conditions were obtained from January 2019 till December 2019 from the in-hospital medical registry. Demographics, presenting complaints, indications, history, type of hysterectomy and complications were analysed. Amongst the two hundred (200) cases of hysterectomy performed in the year 2019, total abdominal hysterectomy (69%) was the most standard type and Leiomyoma uterus (73.5%) being the most common indication. Bilateral Salphingo-Oophorectomy (55%) was done in most patients, along with hysterectomy. Due to the advent of safer surgical practices, the extent of complications have drastically reduced, excessive bleeding (13.5%) being the most common, surgical site infection (1.5%) and bladder injury (1.5%) were recorded. This study demonstrates that though the incidence of hysterectomy done for benign conditions is decreasing with increasing popularity to go for medical management, women in rural India are still opting for surgical management. This necessitates the need for studies to analyse the psychological aspect governing the acceptance of surgical management in preference to conservative management in these rural women.