ysterectomy is today a relatively safe routine operation performed commonly. In India, only extrapolated figures are available based on international data base 2004. According to this, out of 1,065,070,607 women, 2,310,263 have had hysterectomy (2.16/1,000 women) (1). The rate of hysterectomy in India seems to be on the rise.

The common indication of hysterectomy are fibroid uterus, dysfunctional uterine bleeding (DUB), prolapsed genital organ, etc. The various techniques and approaches include abdominal, vaginal, and laparoscopy. The lifetime risk of hysterectomy ranges rate of concurrent oophorectomy with this procedure because of the early menopause that ensues specially in the premenopausal women. Although hysterectomy is the definitive treatment for many conditions, it is not risk-free. It is associated with the risk of iatrogenic Author ? ?: Grant Government Medical College and Sir J.J Group of Hospitals, Mumbai, Maharashtra, India. e-mails: [email protected], [email protected] premature menopause, surgical and anesthetic complications. Hence an audit is mandatory to evaluate the indications of hysterectomy. This study of 41 cases of abdominal hysterectomies for the benign condition of uterus has been taken to study the clinical profile, indications, complaints, and complications. In response to the consistent demand for this procedure, recent reports have identified hysterectomy as a key health indicator used to measure and compare hospital performances (1). The present study attempts to analyze the trend of abdominal hysterectomy over the past six months in a tertiary care centre at Mumbai, India.

This is a retrospective study done from August 2018 to January 2019, in the department of obstetrics and gynecology, attertiary care hospital, Mumbai, India. Data collected were analyzed using descriptive statistics based on the parameters of age, parity, complaints, indications, complications and presented in percentages.

41women who had undergone abdominal hysterectomy for benign conditions of the uterus were studied attertiary care hospital, Mumbai, India between August 2018 to January 2019. IV.

In this study on 41 hysterectomy cases, a few observations were read regarding the anthropometric data, clinical presentation, indications, postoperative complication study observations are described below.

We divided the patients into six groups depending on their age. Most common age group was between 45-50 years , and similar reports were also given by Sucheta KL et So, in our study dysfunctional uterine bleeding and Leiomyoma were found to be the main indications for hysterectomy and similar reports were observed in other series also. Seven of the patient had hypertension, two patients had hypothyroidism, and one patient had bronchial asthma. 36.5% of the patient had associated bilateral salpingo-oophorectomy, 19.05 % had associated right salpingo-oophorectomy, and 21.9% had associated left salpingo-oophorectomy. 4.8 % of patient had subtotal hysterectomy; subtotal hysterectomy was done because of adhesion and difficult tubo-ovarian mass. In our study following complications are noted:

Post-operative wound infection occurred in 5 cases comprising 12.1% of cases. Hemorrhage: Blood transfused to patients in intra operative or post-operative period is included in this category. Eight patients out of 41 cases required one or more pints of blood either intraoperatively or postoperatively. That means 19.5% of cases required one or more pints of blood either intraoperatively or postoperatively. We observed wound dehiscence in three cases which needed re-suturing of the wound (7.3%). Miscellaneous: Urinary bladder rent seen in one case. V.

Hysterectomy will remain a common gynecological operation in both developing and developed countries. Women aged between 45-50 years with multiparous status were commonly affected. Abnormal menstrual flow was the most common presenting complaint. Commonest indications for hysterectomy were fibroid and dysfunctional uterine bleeding. We found no mortality in this study.