A retrospective study of correlation of clinical diagnosis and ultrasonographical findings with histopathological diagnosis of patients underwent hysterectomies for various indications

https://doi.org/10.53730/ijhs.v6nS3.9261

Authors

  • Hardik Bhikhalal Halvadia Assistant Professor, Department of Obstetrics & Gynecology, Dr M K Shah medical College and Research centre, Ahmedabad, Gujarat
  • Vipul S. Patel Associate Professor, Department of Obstetrics & Gynecology, Dr M K Shah medical College and Research centre, Ahmedabad, Gujarat
  • Rajshree K. Modi Consultant, Santokba Bhagwati General Hospital, Dholka, Ahmedabad, Gujarat
  • Manish Patel Junior resident, department of obstetrics and Gynecology, Dr M K Shah medical College and Research centre, Ahmedabad, Gujarat

Keywords:

adenomyosis, AUB, hysterectomy, fibroid uterus, histopathology

Abstract

Introduction: Hysterectomy is a major gynaecological procedure for the removal of the uterus with or without adnexal structures.Hence the aim of the study was to find out the efficacy of clinical and USG findings in diagnosing gynecological disorders, by correlating it with histopathological examination of specimens; so that check out validity of indicated cases are taken up for hysterectomy. Materials & Methods: The retrospective study analysis of the hysterectomy cases was performed. The hysterectomy performed for various indications over a period of one year were enrolled in the study. The patient’s age, parity, clinical presentation, examination findings, clinical & ultrasonography findings and mode of surgeries were noted. The clinical and radiological findings of all patients were correlated with per operative findings. After surgery, all specimens of hysterectomies sent for histopathological examination in pathology department. Results: Total of 400 patients was included in the study with age range from 35 to 75 years. The major chief complain of patients undergoing hysterectomies was menorrhagia in around 66.5% of study population. The most common findings on ultrasonography were found was fibroid uterus present in around 43.5% of the patients.

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References

Vessey MP, Villard‐Mackintoch L, Mcpherson K, Coulter A, Yeats D: The epidemiology of hysterectomy: findings in a large cohort study. BJOG: An International Journal of Obstetrics & Gynaecology 1992, 99:402-7.

Telner DE, Jakubovicz D: Approach to diagnosis and management of abnormal uterine bleeding. Canadian Family Physician 2007, 53:58-64.

Kolhe S: Management of abnormal uterine bleeding–focus on ambulatory hysteroscopy. International journal of women's health 2018, 10:127.

Lee C-L, Wu K-Y, Su H, Wu P-J, Han C-M, Yen C-F: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES): a series of 137 patients. Journal of Minimally Invasive Gynecology 2014, 21:818-24.

Ely JW, Kennedy CM, Clark EC, Bowdler NC: Abnormal uterine bleeding: a management algorithm. The Journal of the American Board of Family Medicine 2006, 19:590-602.

Shergill SK, Shergill HK, Gupta M, Kaur S: Clinicopathological study of hysterectomies. Journal of the Indian Medical Association 2002, 100:238-9, 46.

SoGC-GoC-SCC P, ContriButorS S: Epidemiology and investigations for suspected endometrial cancer. J Obstet Gynaecol Can 2013, 35:380-1.

Bosco R, Sarada V: Clinicopathological spectrum of hysterectomy specimens in a tertiary care hospital-A review of 826 cases. Trop J Path Micro 2020, 6:50-7.

Rather GR, Gupta Y, Bardhwaj S: Patterns of lesions in hysterectomy specimens: a prospective study. JK science 2013, 15:63.

Gangadharan V, Prasanthi C: Hysterectomy-a clinico-pathological correlation in a rural setting. Indian Journal of Basic and Applied Medical Research 2016, 5:8-15.

Papadopoulos MS, Tolikas AC, Miliaras DE: Hysterectomy—Current Methods and Alternatives for Benign Indications. Obstetrics and gynecology international 2010, 2010.

Yadav DP, Yadav R, Bhati I: Abdominal hysterectomy: analysis of clinico-histopathological correlation in Western Rajasthan, India. Int J Reprod Contracept Obstet Gynecol 2017, 6:1012-5.

Pandey D, Sehgal K, Saxena A, Hebbar S, Nambiar J, Bhat RG: An audit of indications, complications, and justification of hysterectomies at a teaching hospital in India. International journal of reproductive medicine 2014, 2014.

Thakur S, Kumar M, Kumar R, Prasad M: Histo-Pathological Evaluation in Cases of Hysterectomy Specimens in Tertiary Care Hospital at Muzaffarpur, Bihar.

Shrestha S, Joshi R, Tamrakar R, Sharma B: Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation. Journal of Chitwan Medical College 2019, 9:65-71.

Published

18-06-2022

How to Cite

Halvadia, H. B., Patel, V. S., Modi, R. K., & Patel, M. (2022). A retrospective study of correlation of clinical diagnosis and ultrasonographical findings with histopathological diagnosis of patients underwent hysterectomies for various indications. International Journal of Health Sciences, 6(S3), 9971–9979. https://doi.org/10.53730/ijhs.v6nS3.9261

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Section

Peer Review Articles