Abstract

Deepika Eppalapalli*, Neethu Palli, Dr. B. Sandhya Rani, Dr. B. Naresh and Dr. B. Agaiah Goud

ABSTRACT

Aim: To know the indication and safety procedure of hysterectomy in urban & rural women of Warangal district. Objectives: ? To analyze the relation between predisposing factors and hysterectomy with the help of a survey. ? To bring awareness on predisposing factors that leads to hysterectomy by changing their life style modifications. ? To know the safe and effective surgical procedures of hysterectomies ? To know the percentage of hysterectomies in urban and rural areas. Methodology: A Suitably designed Data collection form was prepared for patients which includes demographic details of the patient such as age, gender, weight, status, occupation, reason for admission, laboratory data of hematology, biochemistry, USG of uterus, type of surgery, indication for surgery, medication chart, follow up.Statistical analysis was performed by using meanPaired T- test and single factor –ANOVA test are used in the study for probability estimation mean is also used to estimate the safe surgical procedures for hysterectomy and major indications for hysterectomy. Results: In our study 150 patient who underwent Hysterectomy, were enrolled in which 81 urban and 69 rural with various predisposition factors and various surgical procedures as subjects. The role of predisposing factors, severity of indications, USG impression and cost effectively helps the physician to make the decision for type of hysterectomy to be conducted. The majority of the patients are reported from urban residence are at 54% and rural are at 46%. In 150 patients, 150 (100%) were married and 0 (0%) were unmarried. working women were 23(15.3%) and housewife were 127(84.7%). The maximum numbers of patients are between the age group of 40-49 years. In 150 patients, patients with AUB were 36(24%), Uterine Fibroid were 66(44%), Uterine Prolapse were 13(8.66%), Adenomyosis were 29(19.3%) and Endometriosis 6(4%). The patient demographic details and mild complications were collected after the surgery until the patient was discharged. In 150 patients, TLH was done for 93, AH was done for 37 and VH was done for 20. The maximum type of surgery is TLH (62%), AH (25%) and VH (13%). The significance of surgical procedure was compared with eachother at p=0.05.TLH (p=0.118512), AH (0.131877), VH (p=0.14792 there is a significance difference between the type of surgical procedures. TLH is more significant followed by AH and VH.TLH is safer followed by AH and VH as the average of the total is least i.e., 1.612903±0.084365, 4.05405±0.13373 and 7.5±0.109746 respectively. Bleeding is the least complication followed by blood in urine, raise in temperature, abdominal pain. CONCLUSION: our study subjects, the family history, obesity, stress, menopausal stage and diet habits are found to be predisposing factors for development of indications like adenomyosis, endometriosis, uterine fibroid, uterine prolapse, abnormal uterine bleeding which are responsible for conducting hysterectomy. Urban woman is more prone with above mentioned complications thus underwent hysterectomy. Uterine fibroid is the most common indication for hysterectomy, TLH is the safe and effective procedure for hysterectomy when compared with vaginal and abdominal hysterectomy.