Hysterectomy : A Clinicopathologic Correlation

Result: The total number of hysterectomy specimens received was 179. The patient's age ranged between 23-90 years with an average age of 49 years old. The most common clinical indication for hysterectomy was present and previous malignancies 50 (27.9%) including cases of therapeutic and follow up hysterectomies for gynecologic malignancies followed by uterine leiomyoma 44 (24.5%). Other clinical indications included dysfunctional uterine bleeding 29 (16.2%), uterine prolapse 15 (8.3%), endometrial polyps 10 (5.5%), adenomyosis 5 (2.7%) and endometrial hyperplasia 6 (3.3%). Emergency hysterectomy for post partum hemorrhage and placenta accreta 15 ( 8.3%). Abdominal hysterectomy was the preferred approach (85.4%) for cases other than uterovaginal prolapse. The vaginal route was used in 13.4% of cases and two cases underwent laparoscopic hysterectomy.