Total Abdominal Hysterectomy at Sisaket hospital

Abstract

Background: Hysterectomy is the most common operation performed by the gynecologist. The uterus can be removed via the abdominal route, transvaginally, or laparoscopically. However abdominal hysterectomy continues to be the most common approach used worldwide.
Objective: To study incidence, indication, pathological report and complication of Total Abdominal Hysterectomy in Sisaket hospital.
Setting: Sisaket hospital
Research design: Descriptive retrospective study
Materials & Methods: Collected data from medical records of 186 patients who underwent Total Abdominal Hysterectomy from January 1st, 2008 to December 31st, 2008.
Results: There were 93.5% of Total Abdominal Hysterectomy from the whole hysterectomized patients at Sisaket hospital. Most of the patients were age between 40-49 years old (58.6%). The most common symptom was lower abdominal pain (34.9%) and the most common indication was utrine leiomyomas (62.9%). The most common pathological report was uterine leiomyomas (57.0%). The morbidity were fever, excessive bleeding and infection.
Conclusion: The incidence of Total Abdominal Hysterectomy was 93.5% from the whole hysterectomized patients in Sisaket hospital. The most common indication was utrine leiomyomas. The most common pathological report was uterine leiomyomas. The morbidity were fever, excessive bleeding and infection
Key words: Total Abdominal Hysterectomy, indication, complication