• Deeksha Pandey, Shripad Hebbar, Pranadeep Reddy Inukollu, Viwal Venisa Lobo, Suvrati Bansal, Divya Solipuram, Nagashree Suhas, Sarah Arsalan Habibullah, Rishi Jitesh Popat, Akshita Agrawal, and Sayyad Mg.
• Department of Obstetrics and Gynecology, KMC Manipal, Manipal Academy of Higher Education (MAHE), Karnataka, India.
• J Chin Med Assoc. 2023 May 1; 86 (5): 506514506-514.

BackgroundThe appropriateness of hysterectomy has gained an interest in scrutiny and debate. Periodic audits of the prevailing clinical practices are imperative for insight, and to formulate recommendations and guidelines. We report the temporal trends of hysterectomies, over the last 10 years in a teaching hospital.MethodsPresent study involved all patients who underwent hysterectomy at a teaching hospital, from January 1, 2012 to December 31, 2021. Patients were identified by medical record tracking using International Classification of Diseases-9 codes. Case records were reviewed for demography, indication for surgery, approach, complications, hospital stay, and histopathological correlation.ResultsOver the years the absolute number of hysterectomies in our hospital has ranged from 414 to 597 (mean 476), barring the coronavirus 19 pandemic year. The proportion of hysterectomy among all gynaecological admissions has ranged from 6% to 9%, except in 2020 where this proportion dropped down to 4%. The indications, age distribution, surgical approach, and complications have remained almost same.ConclusionWe report a static trend in hysterectomy over the past 10 years. This audit provides an insight for the need of shifting the abdominal to vaginal route, in carefully chosen patients. This will be beneficial for the patients, and for the trainees, where they can learn under supervision. Availability and patient education about the nonsurgical management options for benign gynecological conditions, as well as awareness about sequelae of hysterectomy, will bring down the rate in countries such as India.Copyright © 2023, the Chinese Medical Association.

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