HYSTERECTOMY RATES AND INDICATIONS IN ZEKAI TAHIR BURAK WOMEN’S HEALTH EDUCATION AND RESARCH HOSPITAL; 10 YEAR FOLLOW- UP

Öz

Objective: The types of hysterectomies for benign di- seases according to the indications and rates were investigated. Material and Methods: Study was performed on to- tal number of 8066 patients who were operated in Zekai Tahir Burak Women Health Educational and Rese- arch Hospital’s Gynecology department between April 2001 and May 2011. Study was planned retrospective and datas were obtained patient’s recorded. Ethical comity approval and informed patient consent for each pa- tient had taken before the initiation of study. Patients were evaluated with respect to the operative time, preoperative and postoperative hemoglobin levels, postope- rative analgesic requirement, hospital stay and demographic measures. Analysis of variance and t test used for statistical analysis. A P value < 0.05 was considered statistically significant. Results: Of the 8066 hysterectomies for benign disea- se, the abdominal route was the most common 68.1% , followed by vaginal 30.1% and laparoscopic 1.7% routes. For all hysterectomies, the most common indications were leiomyomata 48% , menstrual disorders 18% , prolapse 16% , endometriosis 14% and tubo- ovarian absess 4% . Conclusion: Despite a shorter length of stay, less pos- toperative analgesic requirement, vaginal and laparoscopic hysterectomies remain far less common than abdominal hysterectomy for benign disease.

Anahtar Kelimeler

• Hysterectomy,Indication,Prevalance

ZEKAİ TAHİR BURAK KADIN SAĞLIĞI EĞİTİM VE ARAŞTIRMA HASTANESİ'NDE HİSTEREKTOMİ ORANLARI VE ENDİKASYONLARI; 10 YILLIK İZLEM

Öz

Amaç: Benign nedenlerle yapılan histerektomilerin tiplerine göre oranlarını ve endikasyonlarını belirlemek Yöntem ve Gereçler: Nisan 2001 ile Mayıs 2011 arasında Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi Jinekoloji Bölümü’nde opere edilen toplam 8066 hasta çalışmaya dahil edilmiştir. Çalışma retrospektif olarak planlanmış olup, bilgiler hasta dos- yasındaki kayıtlardan elde edilmiştir. Etik kurul onayı ve çalışma öncesi her hastadan bilgilendirilmiş onam alınmıştır. Hastaların operasyon süresi, preoperatif ve postoperatif hemoglobin seviyeleri, postoperatif analjezi ihtiyacı, hastanede kalış süresi ve demografik özellikleri kaydedilmiştir. İstatistiksel çalışmalar da varyans analizi ve t-test kullanılmıştır.P < 0.05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Benign nedenlerle yapılan 8066 histerekto- minin en yaygın olarak %68.1’ni abdominal histerek- tomi, daha sonra %30.1 ile vajinal histerektomi ve % 1.7 ile laparoskopik histerektomi oluşturmuştur. Bütün histerektomiler için en yaygın endikasyonu % 48 ile leiomyomlar, % 18 menstrüel düzensizlikler, % 16 uterin prolapsus, % 14 endometriozis ve % 4 tubo-ovarian ab- seler oluşturmaktadır. Sonuç: Vajinal ve laparoskopik histerektominin hastanede kalış süresi kısa, postoperatif analjezi ihtiyacı az olmasına rağmen benign nedenlerle abdominal histerektomiden daha az uygulanmaktadır.

Anahtar Kelimeler

• Histerektomi,Endikasyon,Prevelans

Kaynakça

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