Journal of Evolution of Medical and Dental Sciences
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Executive Editor: Dr. Sridhar.A.
ISSN: 2278-4802 (Print); 2278-4748 (Online)
Frequency: Biweekly
Language: English
Open Access Peer-reviewed journal
Web site: https://jemds.com/index.php
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Browsing Journal of Evolution of Medical and Dental Sciences by Subject "Abdominal Route"
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Item An Observational Study on the Age Group of Women Undergoing Hysterectomy in Eastern Part of India(Akshantala Enterprises Private Limited, 2020-05) Basu, Susmita; Saha, Ritaban; Paul, Mithu; Banerjee, ShubhasisHysterectomy is the most common non-pregnancy related major surgery performed on women. Hysterectomy is usually performed by abdominal, vaginal or laparoscopic route. The lifetime risk of hysterectomy ranges from 20% - 35%. Hysterectomy is done generally in late perimenopausal and postmenopausal age groups. Hysterectomy is done for various indications, like menorrhagia, uterine prolapse, postmenopausal bleeding etc. These indications in turn may be due to pathologies like fibroid uterus, adenomyosis, endometrial polyp, endometrial hyperplasia or even endometrial cancer. Pathologies are different depending upon the age.METHODSIn this study 100 women undergoing abdominal and vaginal hysterectomy in Calcutta National Medical College and Hospital, Kolkata were grouped into different age groups and their percentages were calculated. Women undergoing caesarean hysterectomies and cancer surgeries were excluded.RESULTSWe found that 43 patients were of 41-45 years of age which is significantly higher than other age groups. Other studies except a few had similar results. The greater percentage of hysterectomy was by abdominal route (75%), rest were done by vaginal route (25%). Indications also dictate the route of hysterectomy. Vaginal route was opted for the uterovaginal prolapse cases. Only 2 cases of non-descent vaginal hysterectomies were performed.CONCLUSIONSHysterectomies in earlier than 40 years should be without oophorectomies because of ill effects of loss of estrogen. But keeping behind a potential organ for cysts and cancer is risky as well. So, a risk benefit balance has to be considered. Since perimenopausal age group came out to be the commonest one undergoing hysterectomy, postmenopausal symptoms and its effects remains a matter of concern which needs close follow-up and necessary management.