title: A case notes analysis of hysterectomy performed for non-neoplastic indications at Liaquat National Hospital, Karachi.
abstract: OBJECTIVE
  To determine the indications, associated morbidity, mortality and histopathological findings in women who underwent hysterectomy for non-neoplastic indications at Liaquat National Hospital Karachi.
  
  
  METHODS
  This is a five year retrospective case note study of 143 women who underwent hysterectomy, excluding all those performed for benign or malignant pelvic neoplasms (excluding fibroids) and hysterectomy following childbirth for postpartum haemorrhage.
  
  
  RESULTS
  Menorrhagia was the commonest indication for performing hysterectomy. The majority of the patients were in their forties; the commonest post operative complications were pyrexia, urinary tract and wound infections in 16% of the patients. There was no mortality associated with the procedure. The histopathology of the specimens revealed adenomyosis followed by leiomyoma to be the commonest pathology.
  
  
  CONCLUSIONS
  It appears that adenomyosis is a common pathology in women from various ethnic and social backgrounds in Karachi, who are suffering from menorrhagia. Early diagnosis with high-resolution ultrasound is possible and hysterectomy may be offered earlier to these women, as they do not usually respond to medical treatment.
authors.affiliation: Department of Obstetrics and Gynaecology, Liaquat National Hospital, Karachi.
authors.forename: S
authors.initials: S
authors.lastname: Ahsan
authors.forename: S
authors.initials: S
authors.lastname: Naeem
authors.forename: A
authors.initials: A
authors.lastname: Ahsan
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies