Khapre Shrutika S, Joshi Vivek, Hivre Mangesh D
Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Obstetrics and Gynecology, King Edward Memorial Hospital, Pune, IND.
Cureus. 2024 Jan 10;16(1):e52031. doi: 10.7759/cureus.52031. eCollection 2024 Jan.
Introduction Hysterectomy is the most common procedure performed in females worldwide in response to a variety of indications. Abdominal and vaginal hysterectomies are the most common routes preferred but laparoscopic hysterectomy is one of the minimal access methods that are being used more often for hysterectomies. Additionally, there are numerous postoperative complications associated with hysterectomies; therefore, the goal of the present study was to determine the indications, commonly preferred routes of surgery, and associated postoperative complications in hysterectomy. Methodology A prospective observational study was carried out for 14 months in 2018 and 2019. Based on the selection criteria 120 patients who underwent hysterectomy were recruited for the study in which indications for hysterectomy, route of surgery, and associated postoperative complications were assessed. Results The age range of 36-45 accounted for the greatest number of hysterectomies consisting of 47 patients (39.2%) out of 120 participated. Hypertension was the most commonly associated comorbidity in 33 patients (27.5%). The most common indication for hysterectomy was a fibroid in 34 (28.3%) patients and the most preferred route of surgery was through the abdomen in 52 (43.3%) patients. The postoperative complications were more in peripartum hysterectomy and least in vaginal hysterectomy. Conclusion Although hysterectomy is frequently performed to enhance quality of life, it can also be a life-saving treatment. As there is a chance of problems with any surgical operation, the indication needs to be carefully considered. Since there are now a lot of conservative methods available for treating benign gynecological disorders, it is wise to talk to the patient about her options before deciding to remove her uterus surgically.
引言
子宫切除术是全球女性因各种指征而进行的最常见手术。腹部和阴道子宫切除术是最常用的途径，但腹腔镜子宫切除术是越来越常用于子宫切除术的微创方法之一。此外，子宫切除术还伴有许多术后并发症；因此，本研究的目的是确定子宫切除术的指征、常用的手术途径以及相关的术后并发症。
方法
2018年和2019年进行了为期14个月的前瞻性观察研究。根据选择标准，招募了120例行子宫切除术的患者进行研究，评估子宫切除术的指征、手术途径及相关术后并发症。
结果
年龄在36 - 45岁之间的患者行子宫切除术的人数最多，120名参与者中有47例（39.2%）。高血压是33例（27.5%）患者中最常见的合并症。子宫切除术最常见的指征是子宫肌瘤，有34例（28.3%）患者；最常用的手术途径是经腹，有52例（43.3%）患者。围产期子宫切除术的术后并发症较多，而阴道子宫切除术的术后并发症最少。
结论
虽然子宫切除术经常用于提高生活质量，但它也可能是一种挽救生命的治疗方法。由于任何手术都有出现问题的可能性，因此需要仔细考虑手术指征。鉴于目前有许多保守方法可用于治疗良性妇科疾病，在决定对患者进行子宫手术切除之前，明智的做法是与患者讨论她的选择。
