Histopathological Findings of Abdominal Hysterectomies in Patients Presenting with Heavy Menstrual Bleeding (HMB)

Abstract

Objective: To determine the frequency of different histopathological findings in hysterectomy specimens in patients with heave menstrual bleeding.

Study Design: Cross-sectional study

Setting: This study was carried out in Gynae Unit III (Sandemen Provincial Teaching Hospital Quetta) from January 2009– December 2009.

Materials and Methods:  Two hundred abdominal Hysterectomy cases done for the treatment of heavy menstrual bleeding (HMB) were included in this study. An exclusion criteria was vaginal hysterectomies, abdominal hysterectomies done for complaints other then manorrhagia and malignancies. After hysterectomy specimen of uterus sent for histopathology.

Results: The age ranged from 30-55 years with maximum number (62.5%) of cases in 41-50 years of age group. The main presenting complaint of patients was heavy cyclical menstrual flow. Total abdominal Hysterectomies with bilateral salpingoophoroctomy done in 120patients, in 80 patients both ovaries conserved. There was no intra-operative complication. Mild post operative complications occurred in 15% of cases. There was no death. On histopathology leiomyoma was most common pathlogy found in 55% cases. No malignancy was detected on histopathology of the uterus.

Conclusion: The study confirmed that benign diseases were more common in hysterectomy specimen performed for HMB. Utrine fibroids and adenomyosis are the most common benign conditions found in hysterectomy specimens on histopathological examination.