ASSESSMENT OF SURGICAL OUTCOMES IN PATIENTS UNDERGOING TOTAL ABDOMINAL HYSTERECTOMY FOR UTERINE FIBROIDS AT A TERTIARY CARE HOSPITAL IN LARKANA

Abstract

OBJECTIVE: To determine the outcomes of total abdominal hysterectomy among patients undergoing uterine fibroids surgery at a tertiary care hospital, Larkana.

METHODOLOGY: The study was conducted in the Department of Gynaecology and Obstetrics, Shaikh Zayed Hospital, Larkana, to determine the outcomes of total abdominal hysterectomy among patients undergoing uterine fibroids surgery at a tertiary care hospital. This descriptive cross-sectional study included 159 patients, aged 20–60 years with a diagnosis of uterine fibroids and a fibroid duration of ≥1 month. Post- surgery, patients were monitored in the ward to evaluate estimated intra-operative blood loss, requirement for blood transfusion, postoperative fever, and duration of hospital stay. The SPSS version 26.0 was used to analyze the data.

RESULTS :The mean ± standard deviation of age of the participants was noted as 38.43 ± 10.53 years. The mean and standard deviation of estimated intra-operative blood loss was found to be as 550.25 ± 82.87 mL, while the mean ± standard deviation for duration of surgery and hospital stay were noted as 125.53 ± 27.28 minutes and 6.25 ± 1.54. Visceral injury was noted 3.8% women, blood transfusions were required (22.0%), postoperative fever was noted in (10.1%) patients.

CONCLUSION: The study concluded that total abdominal hysterectomy appears to be a safe and effective treatment option for women with symptomatic uterine fibroids. The surgery was well tolerated by the majority of patients with less complications. Overall, it was associated with an acceptable intra-operative blood loss and duration of hospital stay and can be regarded as a non-compromising surgical procedure in a tertiary care set up.