Evaluation of hysterectomy cases in our clinics

Objective: The aim of the study was to evaluate the hysterectomies carried out in our clinic with demographic characteristics of patients.
Methods: The study retrospectively evaluates the clinical and demographic characteristics of the 949 patients that had hysterectomy procedures with various indications between January 2003-June 2010 in Taksim Training and Research Hospital, Gynecology and Obstetrics Department.
Results: The mean age was 50.54±9.5 in all groups and 60.10±10.20 in vaginal hysterectomy group. The ratio of vaginal hysterectomy was determined as 13.17%, whereas the ratio of abdominal hysterectomy was 86.83%. In our clinic, the most common hysterectomy indication was myoma uteri (311 patients, 32.77%) and the second most common indication was adnexial mass (139 patients, 14.65%). The ratio of hysterectomies performed for gynecological malignancies were 6.74%. We have seen 0.52% bowel injury in all groups and 0.12% bladder injury in abdominal hysterectomy group. Also, in vaginal hysterectomy group, there was 1 patient (0.08%) with bladder injury.
Conclusion: Abdominal hysterectomy has been performed more common than vaginal hysterectomy in our clinic. The vaginal hysterectomy has been performed in patients who have pelvic prolapse and appropriate anatomy fort he procedure. Also the variation of procedure depends on the experience of surgeon. In the light of these assesments, in line with data from other gynecology and obstetrics clinics in our country, both statistics of our country can be revealed and information can be exchanged between clinics.

Kliniðimizde gerçekleþtirilen histerektomi olgularýnýn deðerlendirilmesi

Amaç: Kliniðimizde uygulanan histerektomi operasyonlarýný, hastalarýn demografik özellikleri ile birlikte klinik açýdan deðerlendirmeyi amaçladýk.
Yöntem: Taksim Eðitim ve Araþtýrma Hastanesi Kadýn Hastalýklarý ve Doðum Kliniði’nde Ocak 2003-Haziran 2010 tarihleri arasýnda histerektomi operasyonu uygulanan 949 hastanýn demografik ve klinik özellikleri retrospektif olarak deðerlendirildi.
Sonuç: Çalýþmaya alýnan tüm hastalarýn yaþ ortalamasý 50.54±9.5 olup, vaginal yaklaþýmla yapýlan histerektomilerde yaþ ortalamasý 60.10±10.20’dir. Tüm histerektomilerin %13.17’si vaginal histerektomi olup, total abdominal histerektomi ise tüm histerektomilerin %86.83’sini oluþturmaktadýr. Histerektomi endikasyonlarý sýralamasýnda 311 (%32.77) ile myoma uteri ilk sýrada yer almakta, bunu 139 (%14.65) hasta sayýsý ile adneksiyal kitleler izlemektedir. Jinekolojik maligniteler ise endikasyonlarýn %6.74’ünü oluþturmaktadýr. Hem vaginal (%0.8’nde) hem abdominal histerektomi (%0.12’sinde) grubunda 1’er hasta olmak üzere toplam 2 hastada mesane onarýmý gerektiren mesane yaralanmasý gerçekleþmiþtir. Barsak yaralanmasý tüm vakalarýn %0.52’sinde görülmüþtür.
Yorum: Kliniðimizde abdominal histerektomi, vaginal histerektomiden daha sýk uygulanmakla birlikte, vaginal histerektomi, prolapsusu olan, özellikle anatomisi uygun vakalarda uygulanmakta ve bu kararý cerrahýn deneyimi de etkilemektedir. Bu deðerlendirmeler ýþýðýnda ülkemizdeki diðer Kadýn Hastalýklarý ve Doðum Klinikleri’nin de verileri doðrultusunda hem ülkemiz istatistiklerinin ortaya konulabileceði, hem de klinikler arasý bilgi alýþveriþinin saðlanabileceði kanaatindeyiz