title: Combined abdominal hysterectomy, cholecystectomy and appendicectomy: a study of 25 cases in Abbottabad.
abstract: BACKGROUND
  Gallstone disease is common in women. Many patients undergoing abdominal ultrasound for gynaecological diseases are found to have gallstones. This study was done to see the results of combined abdominal hysterectomy, mini-cholecystectomy and appendicectomy in a set up lacking facilities of laparoscopic surgery.
  
  
  METHODS
  This prospective study was conducted in Ayub Teaching Hospital, Iltaf Hospital and Shahina Jamil Trust Hospital of Abbottabad from August 1998 to July 2004. All patients undergoing combined abdominal hysterectomy and mini-cholecystectomy were exclusively studied with reference to following variables. Age, Weight, Parity, Co-morbid conditions, peri-operative and post-operative complications, blood transfusion, hospital stay and mean extra time for mini-cholecystectomy and appendicectomy after abdominal hysterectomy.
  
  
  RESULTS
  There were 25 patients in the study group. The ages ranged from 35-50 years. Mean weight was 65 Kg. There were no operative complications. Mild postoperative complications occurred in 7(28%) patients. Mean extra time for cholecystectomy was 25 minutes. Mean hospital stay was 9 days.
  
  
  CONCLUSIONS
  In selected women, combined abdominal hysterectomy, cholecystectomy and appendicectomy is a safe, feasible and cost effective procedure.
authors.affiliation: Department of Surgery, Ayub Medical College, Abbottabad.
authors.forename: Samson
authors.initials: S
authors.lastname: Griffin
authors.forename: Nasreen
authors.initials: N
authors.lastname: Abbassi
authors.forename: Zahida
authors.initials: Z
authors.lastname: Parveen
authors.forename: Arshad
authors.initials: A
authors.lastname: Zafar
authors.forename: Johar
authors.initials: J
authors.lastname: Ali
mesh_terms: D000328:Adult; D001062:Appendectomy; D002763:Cholecystectomy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D010154:Pakistan; D011183:Postoperative Complications; D011446:Prospective Studies; D016896:Treatment Outcome