Indications and Histopathological Analysis of Hysterectomy Specimens

Abstract

Objective: To examine the indications and histopathological analysis of hysterectomy specimens.

Study Design: Prospective study.

Place and Duration of Study: Department of Obstetrics & Gynaecology, Shaikh Zayed Women Hospital Larkana from 1^st January 2021 to 31^st December 2021.

Methodology: Fifty women undergoing hysterectomies with an age greater than 18 years were enrolled as study participants. Partial or complete hysterectomy was performed in each patient and the samples gained post hysterectomy were placed in 10 percent formalin until histopathological examination was performed. The process of hysterectomy was done by a qualified surgeon keeping quality surgical standards. Demographic details including age, gender as well as other information regarding clinical symptoms, diagnosis and clinical history were documented on a well-structured questionnaire.

Results: The mean age was 34.4±5.4 years with most of the women within the age group of 40-49 years and 68% of the women with abundant menstrual bleed followed by presentation of abdominal mass. In most of the females a uterus fibroid was presented whereas UV prolapse was also common in women indicating towards hysterectomy. Leiomyoma was presented highest on histopathological report findings such as in 29% of the cases followed with adenomyosis reporting.

Conclusion: Every hysterectomy sample should be evaluated properly and timely for post-operative management and for the exact diagnosis of underlying disease.

Keywords: Hysterectomy; Evacuation; Pathology; Malignancies