Objectives:The aims of study are (1)To make an audit of hysterectomies by either route in a teaching hospital.(2)To determine the morbidity and mortality associated with this procedure. Study design: Descriptive study Setting: Gynae & Obstetrics units, Independent University Hospital Faisalabad Period: From 1-1-2006 to 31-12-2008 Material & Methods: retrospective collection of data by convenience sample technique. Results: 27% cases were due to fibroids, 22% were due to uterovaginal prolapse, 19% (DUB), 13% (chronic PID). The complications were 28% (UTI) by abdominal route and 13.3% were by vaginal route, 26.6% wound infection and 2.6% in vaginal hysterectomy, rest of complications were comparable by both routes. Conclusion: vaginal hysterectomy has more promising results but is reserved for specific indications.
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