The publication of University of Health Sciences, Istanbul Sisli Hamidiye Etfal Medical Practice and Research Center

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          VOLUME 45 / ISSUE 2

The Journal is Indexed in

1 - Evaluation of hysterectomy cases in our clinics

Burcu Dinçgez, Ebru İnci Coşkun, Yavuz Tahsin Ayanoğlu

Objective: The aim of the study was to evaluate the hysterectomies carried out in our clinic with demographic characteristics of patients.

Methods: The study retrospectively evaluates the clinical and demographic characteristics of the 949 patients that had hysterectomy procedures with various indications between January 2003-June 2010 in Taksim Training and Research Hospital, Gynecology and Obstetrics Department.

Results: The mean age was 50.54±9.5 in all groups and 60.10±10.20 in vaginal hysterectomy group. The ratio of vaginal hysterectomy was determined as 13.17%, whereas the ratio of abdominal hysterectomy was 86.83%. In our clinic, the most common hysterectomy indication was myoma uteri (311 patients, 32.77%) and the second most common indication was adnexial mass (139 patients, 14.65%). The ratio of hysterectomies performed for gynecological malignancies were 6.74%. We have seen 0.52% bowel injury in all groups and 0.12% bladder injury in abdominal hysterectomy group. Also, in vaginal hysterectomy group, there was 1 patient (0.08%) with bladder injury.

Conclusion: Abdominal hysterectomy has been performed more common than vaginal hysterectomy in our clinic. The vaginal hysterectomy has been performed in patients who have pelvic prolapse and appropriate anatomy fort he procedure. Also the variation of procedure depends on the experience of surgeon. In the light of these assesments, in line with data from other gynecology and obstetrics clinics in our country, both statistics of our country can be revealed and information can be exchanged between clinics.

Keywords: Indications for hysterectomy, vaginal hysterectomy, abdominal hysterectomy

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