Hysterectomy: the Indications and Results. A Study of (113) Patients in Duhok City


Ala Hani Razzak

College of Medicine, University of Duhok





Abstract

This study included (113) patients who underwent hysterectomy from February 1998 to April 2000 in Azady General Hospital in Duhok City. The mean age for the included patients was (46.5) years. Abnormal uterine bleeding was the major indication for hysterectomy (68%) and the next common indication was lower abdominal pain, pelvic pain & backache (10.6%). Fifty two patients (46%) had no gross or microscopic pathology while endometrial hyperplasia was found in (18) patients (16%), adenomyosis in (11) patients (9,7%), Leiomyomas in (10) patients (8.8%), Endometrial polyps in (5) patients (4.4%) and only four patients had malignancies (3.5%); three of them had uterine malignancies and only one had ovarian cancer. 

Keywords :- Hysterectomy, Endometrail hyperplasia, Leiomyoma,endometrial Polyp. 



References 

1.Tindall VR: Jeffcoates Principles of Gynecology. 5th ed. 1987. London: Butter Worths,ISBN 407-00235-9 (P706- 709). 
2.Cutler WB, Genovese SE: Wellness in women after 40 years of age: the role of sex hormones and Phermones. Dis-Mon Sep1998; 44(9): 421-546. 
3.Scialli AR: Alternatives to hysterectomy for benign conditions. Int J Fertile Women s Med: Jul-Aug 1998; 43 (4): 186-91. 
4.Weber Am, Munro MG: Endometrial ablation versus hysterectomy: Stop-DUB. Medscape Women s Health. May 1998; 3 (3): 3. 
5.Wren BG: Dysfunctional uterine bleeding. Aust Fam Physcian. May 1998; 27(5): 371-7. 
6.Dragojevic DS, Vucic M: The application of GnRH analogues in the treatment of uterine myomas in peri menopausal women. Ginekol Pol Jan 1998; 69(1): 28-33.
7.Mizutani T, Sugihara A, Nakamuro K and Terada N: Suppression of cell proliferation and induction of apoptosis in uterine leiomyoma by gonadotropin - releasing hormone agonist (Leuprolide acetate). J Clin Endocrinol Metab Apr 1998; 83(4): 1253-5. 
8.Coleman M, McCowan L and Farquhar C: The levonorgestrel-Releasing intrauterine device: a wider role than contraception. Aust NZJ Obstet Gynaecol May 1997; 37(2): 195-201. 
9.Edmonds K: Dewhursts textbook of obstetrics and gynaecology for postgraduates. 6th ed. London: Blackwell Sciences Ltd,1999. 
10.Lee G: Manual of histopathologicstaining methods of the armed forces institute of pathology. 3"I ed. New York: McGraw-Hill, 1968. 
11.Tobre H: A renaissance for vaginal hysterectomy. Acta Obstet Gynecol Scand Suppl 1997; 164: 85-7. 
12.Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Morrow B, Kieke BA and Wilcox LS: Hysterectomy surveillance - United States, 1980-1993. MMWR CDC Surveill Summ Aug 1997 8; 46(4): 1-15. 
13.Jonathan SB: Novak gynecology. 12th ed. Baltimore: William & Wilkins, 
14.Salih M: Azady Hospital operations statistics (Personal contact) 0-683-00593-6 P. 42. 
15.Duhok Private Hospital (Personal contact) 
16.Private Hospital of Dr. Asima Mohammad (Personal contact) 
17.Ball HG and Elkadry EA: Endometrial cancer: Current concepts and management. Surg Oncol ClinN Am Apr 1998; 7(2): 271-84. 
18.Cabra Z, Ruiz M, Kably A: Uterine sarcoma. Analysis of 37 cases. Ginecol Obstet Mex Apr Apr 1998; 66: 164-9. 
19.Lissoni A, Cormio G, Bonazzi C, Perego P, Lomonico S,Gabriele A and BratinaG:, Fertility sparing surgery in uterine leiomyosarcoma. Gynecol oncol Sep 1998; 70(3): 348-50. 
20.Cotran R, Kumar V, Robbins S: Robbins pathologic basis of disease. 5th ed. Philadelphia: W.B- Saunders, 1994, 1996 0-6883-00593-5 P.1059. 
21.Rosai J: Ackermans surgical pathology .8th ed. St. Louis: Mosby, 1996 ll.,ISBN 0-8016-7004-7