Browsing by Author "BUDDHINATHA, KKJ"

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    Indications for and Outcome of total abdominal Hysterectomy for benign disease.
    (Post Graduate Institute of Medicine, Colombo: PGIM., 2005) BUDDHINATHA, KKJ
    The principal indications were bleeding, pain or both giving the commonest diagnosis of dysfunctional uterine bleeding (53.4). Symptoms were severe enough to have a considerable impact on lifestyle. Otherwise, the women were in good health. During the first ten post-operative days, the women experienced a reduction in their ability to perform activities of daily living. Urinary (15.5) and wound (8.7) infections were the commenest complications. By three months, the principal symptoms had resolved for 97 of the women while there was significant improvement in urinary function, psychological health, activities of daily living, lifestyle activities and sexual enjoyment. Despite this, these changes did not meet the pre-operative expectations of some women. Most women reported substantial benefits from hysterectomy. However, women should be counselled about early, transient adverse effects. These findings can be served as a benchmark for a multicentre study.