[Indications, surgical modality and complications of hysterectomy for benign pathology: results of a Lombard study. Gruppo di Studio Lombardo sull'Isterectomia].

Abstract

The results of descriptive epidemiological study on hysterectomy for benign conditions are presented. Between October 1990 and September 1991, 1189 surgeries for fibroids, disorders of menstruation and ovarian cysts performed in 15 gynaecological clinics in Lombardy (Northern Italy) were registered using standard sheets. Fibroids was the most common indication for hysterectomy (74.3% of total). Most surgeries were performed in women aged 40-59. We observed a relatively high frequency of longitudinal incision in young and thin women with small fibroids, a relatively high execution of bilateral oophorectomy in premenopausal women (35% of surgeries for fibroids or menstrual disorders), a median hospital stay of 12 days, a great variability in thromboembolic and antibiotic prophylaxis.