Keywords
Abdominal hysterectomy; Epidemiology; Benign pathologies; Surgical time; Complications
Abstract
Aim:
To evaluate the epidemiological data of patients who underwent abdominal hysterectomy for benign diseases in a tertiary reference centre in the Southeast of Brazil.
Methods:
This retrospective study analyzed the medical records of patients who underwent abdominal hysterectomies for benign diseases between 2000 and 2012. The following epidemiological data were assessed: age, parity, marital status, ethnicity, Body Mass Index (BMI), previous surgeries, preoperative diagnosis, associated chronic diseases, type of surgery, postoperative complications, days of hospitalization and agreement between clinical and pathological diagnoses. For statistical analysis, the absolute and relative frequencies were used.
Results:
A total of 280 surgeries were performed in the given period. Most patients were aged between 41 and 45 years (33.2%), single (46.4%), of mixed ethnicity (47.9%) and had a BMI within a range of 20 to 24 kg/m2 . The most common preoperative diagnosis was uterine fibroids (54.6%), and the most prevalent chronic condition was arterial hypertension (53.5%). Furthermore, the procedure indicated and performed most often was total isolated abdominal hysterectomy (83.9% and 56.4%, respectively). Surgical time was below 2 h in 244 patients. Immediate and late complications comprised 17.5% of cases and urinary tract infection was present in 23.5% of cases. The preoperative diagnosis was confirmed by histopathology in 87.5% of patients. There were no deaths in the present study.
Conclusion:
Abdominal hysterectomy for benign diseases was proven to be a safe surgical procedure, albeit not without risk.
Citation
Tavares SJS, Araujo Júnior E, Vasques FAP, França BC, Athayde CLA and Bravo RS. Epidemiological Analysis of Abdominal Hysterectomies by Benign Pathologies in a Tertiary Reference Centre in Brazil. SM J Gynecol Obstet. 2016; 2(1): 1015.