A STUDY TO COMPARE SYMPTOMS OF ABDOMINAL HYSTERECTOMY AS IDENTIFIED CLINICALLY WITH THOSE PROVED HISTOPATHOLOGICALLY

Objective: Carried out the present study to find out the relationship among medical symptom and ultimate histopathological analysis of hysterectomy sample.Study Design: Cross-Sectional Descriptive Study.Place and Duration: Held the present research study from March, 2016 to February, 2018 in the department of gynaecology at Services hospital Lahore.Methodology: Selected all those patients for the current research who were suffering from gynaecological infections and taking the treatment of hysterectomy. Excluded all those patients who were having vaginal hysterectomy and obstetric hysterectomy. Collected the data information about medical statistics, symptoms of hysterectomy and demographic features and made a record of all information on a proforma which was predesigned for this purpose. Took surgical samples for test of histopathology and examined the resultant reports and made the comparison of surgery indications with it. Results: Carried out major gynaecological surgeries total 313 in number from which abdominal hysterectomies were 53.9 %. Average age of the patients was 44.2±5.2 and multiparous females were more in strength. Most common indication showed were mass in lower abdomen as 8.3%, anomalous uterine bleeding as 59.8% and abnormal uterine bleeding with pain as 21.9%. Frequent posing sign of hysterectomy was adenomyosis (8.9%) and dysfunctional uterine bleeding (39.6%), followed by fibroid (29.6%). Preoperative analysis confirmed 100 % in cases of pelvic inflammatory disease, adnexal masses, endometriosis, malignancy and endometrial hyperplasia according to the final histopathological result reports of hysterectomy specimens. Found inequality among histopathological and clinical analysis in cases of adenomyosis in 23.7 % histopathological and 8.9 % clinical, fibroid in 32.6 % histopathological and 29.6 % clinical and dysfunctional uterine bleeding in 16.6 % histopathological and 39.6 % clinical.Conclusion: The pre-operative diagnosis for hysterectomy in cases of fibroid, malignancy, endometriosis, endometrial hyperplasia and pelvic inflammatory disease symptoms are well correlating with histopathological reports. Particularly for the management of malignant disease and for confirmation of diagnosis histopathology is very necessary. Keywords: histopathology, adenomyosis, dysfunctional uterine bleeding, Abdominal hysterectomy