Rctrospcctivc approach to hysterectomies

Abstract

Objectives: To evaluate operative and postoperative outcomes of hysterectomies for benign condition. Material and Methods: A retrospective analysis of 312 hysterectomies between january 2011-december 2011. All cases were grouped as abdominal total, abdominal subtotal, vajinal and laparoscopic hysterectomies. Complications were classifed, such as bladder, ureter, intestine injuries and wound infections. For all patients, demographic findings, preoperative thrombose prophylaxis, salpingo oopherectomy application, postoperative hematocrite values, eritrocyte transfusions, hospitalization and other complications were registered. Results: In 312 cases, hysterectomies were performed with four main approaches: 222 abdominal total hysterectomies (% 71, 2), 54 vaginal hysterectomies (% 17.3), 24 abdominal subtotal hysterectomies (% 7.7) and 12 laparoscopic histerectomies (% 3.8). Most common indication for vaginal hysterecromy was determined as desensus uteri (% 93). % 63 of total abdominal histerectomies, % 79 of abdominal subtotal hysterectomies, % 68 of laparoscopic histerectomies were performed for myoma uteri indication. Although vaginal hysterectoies were at post menapozal period, abdominal total, abdominal subtotal and laparoscopic hysterectomies were at peri menapozal period. Compared with other type of hysterectomies, vaginal hysterectomies had significantly higher average of age and gravida. Salpingo oopherectomy rate is % 84 (n:187) in abdominal total hysterectomies, % 54 (n:13) in abdominal subtotal hysterectomies, and % 67 (n:8) in laparoscopic histerectomies. In vaginal hysterectomies this ratio is % 6 (n:3) and significantly less than the other groups. There was no evidence of a difference in the rates of eritrocyte transfusion, decrease in hematocrite value, hospitalization time, perioperative trombose prophylaxis and other post operative complications Conclusion: According to the reviews vaginal hysterecctomies has less complications and hospitalization time. But we didn't find any difference between the groups. For us the reason of that is minority of cases and more analysis in extended patient populations are needed.