Frequency of Complications Among Total Abdominal Hysterectomy Patients in Rehman Medical Institute Hayatabad Peshawar

Background: Complications are a common phenomenon during any gynecological and obstetrical surgical intervention and poses serious threat to female health. Timely recognition and effective management of the complication reduces significant morbidity. Objectives: This study was conducted to assess the frequency of complications among total abdominal hysterectomy (TAH) patients at Rehman Medical Institute, Peshawar. Materials and Methods: A two years cross-sectional study,on198patients undergoing total abdominal hysterectomy was conducted in the Gynecology Unit of Rehman Medical Institute Peshawar, Pakistan; from October 2015 to September 2017. All patients who were operated for abdominal hysterectomy with or without salpingo-oophrectomy were included and relevant data was collected through a structured questionnaire. Results: Approximately 42.93% (n=85), had post hysterectomy complications among the study populations (n=198). Among these participants; 77.78% were above 40 years age. Among the study population; 32.32% were anemic; 15.66% had fibroids, 10.61% had history of endometriosis; 13.64% had C-sections; 18.69% had positive history of diabetes mellitus or/ and hypertension; and approximately 26.26% were obese. Out of all patients (n=198), operated for TAH, the following complications were observed; post operative pain (23.74%),surgical site infections (18.18%), excessive bleeding (14.65%),cardiac problems (9.60%); neurological effects(1.51%), urinary tract injuries (7.07%), respiratory problems (4.55%),gastrointestinal tract injuries (4.04%), wound scar dehiscence (2.53%), vaginal cuff dehiscence (1.01%) and miscellaneous problems (12.63%) like fever, weakness, body ache, perennial pressure and discomfort etc. Conclusions: It was concluded that most of the patients following total abdominal hysterectomy eventually complained of different complications as our study population had high prevalence of high risk and serious cases who were referred and treated at Rehman Medical Institute, Hayatabad, Peshawar. Thus close monitoring of identified risk factors, adequate management of diabetes mellitus, hypertension and timely recognition and effective management of the complication reduces significant morbidity. Key Words: Hysterectomy, Complications, Bleeding Disorders, Fibroids, and Peshawar.