Indications and complications of total abdominal hysterectomy for benign disease

Abstract EN

Objective : to describe the indications and complications of total abdominal hysterectomy for benign disease.

Methods : this is a descriptive study which was conducted at Prince Hashed Hospital, Zarqa-Jordan during the period July 2008 to July 2010.

Sixty-three women aged 30-55 years old who underwent total abdominal hysterectomy who were histologically confirmed benign disease were enrolled in this study.

Simple descriptive statistics (frequency and percentage) were used to describe the variables.

Results : the most common indications for total abdominal hysterectomy among the study group were uterine leiomyomas (52.4 %), abnormal uterine bleeding (38.1 %), and endometriosis (3.2 %).

Other indications were pelvic inflammatory disease (1.6 %), chronic pelvic pain (1.6 %), adenomyosis (1.6 %), and chronic infection (1.6 %).

The commonest complications were pain (96.8 %), urinary tract wound infections (17.5 %) and fever (15.9 %) respectively.

Conclusion : Uterine leiomyomas were the most common indication for benign hysterectomy.

Nearly all women reported long-term benefit from the surgery ; however women should be warned about early transient adverse effects.