Abstract
OBJECT: To study the clinical indication and common pathologies identified on specimen, and complications associated with this procedure.
STUDY DESIGN: Prospective observational study.
SETTING AND DURATION: Department of Obstetrics and Gynaecology, Ghulam Muhammad Mahar Medical College Teaching Hospital Khairpur (Shaheed Muhtarama Banazir Bhutto Medical University Larkana Sindh) during one year period from 1st May 2010 to 30th April 2011.
PATIENTS AND METHOD: All abdominal hysterectomies performed between May 2010 to April 2011 were studied for the following variables: The primary clinical indication, the histological diagnosis and complications associated with this procedure. Data was collected on pre-designed Performa and analyzed on SPSS version 15.
RESULTS: Total number of patients admitted during study period at department were 5580, of which 2280 (40.86%) had the gynaecological problems, of these 2280 patients, 820 (35.96%) required surgery. Two hundred ninety women undergo major gynecological surgery which
Included elective abdominal hysterectomy in 150 (51.72%) patient. Peak age incidence was 35-60 years.
In 97% cases indication were for benign conditions. Menstrual disorders were the major clinical indication of hysterectomy while on histopathology of uterus leiomyoma were the common pathology confirmed. There was no mortality associated with the procedure.
CONCLUSION: Menstrual disturbance is leading indication of hysterectomy and leiomyoma is the commonest pathology found on hysterectomy specimen.

Key words: Abdominal hysterectomy, Leiomyoma, Histopathology, Benign lesions