Original Investigation

Analyzing hysterectomies performed at our clinic between 2009 and 2011

10.5152/imj.2015.29053

  • Züleyha Gedik Cevahir
  • Derya Sivri Aydın
  • Çiğdem Yavuz Yurtsever
  • Besim Haluk Bacanakgil
  • Ahmet Birtan Boran

Received Date: 10.07.2014 Accepted Date: 29.12.2014 İstanbul Med J 2015;16(1):29-33

Objective:

To analyze patients who underwent hysterectomy for benign lesions.

Methods:

We retrospectively analyzed 711 patients who underwent hysterectomy for benign lesions.

Results:

Hysterectomy was performed abdominally in 87.2% (n=620) of the patients, vaginally in 12.8% (n=91) of the patients. The mean age of the patients who underwent abdominal hysterectomy was 50 (±9) years, whereas that of the other group was 63 (±11) years. The most common indication of abdominal hysterectomy was leiomyoma and the only indication of vaginal hysterectomy was uterine prolapse. The complication rate of abdominal hysterectomy was 29.5%, whereas that of vaginal hysterectomy was 12.2%. It was determined that the rate of hospitalization and of postoperative fever was higher and the decrease in the hematocrit level was smaller in the patients who underwent abdominal hysterectomy compared with those who underwent vaginal hysterectomy.

Conclusion:

We determined that abdominal hysterectomy was preferred, abdominal hysterectomy was most frequently performed in cases of leiomyomas, and vaginal hysterectomy was only performed in patients with genital prolapse. The overall complication rate of vaginal hysterectomy was less than that of abdominal hysterectomy.

Keywords: Hysterectomy, indication, rate of complication