Volume 03 Issue 04-2023
45
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
04
P
AGES
:
45-49
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
ABSTRACT
The article presents the materials of the research work on the basis of the Department of Obstetrics and Gynecology
No. 3 in the Department of Obstetrics and Gynecology of the Maternity Complex No. 1 of the city of Samarkand. The
data on total hysterectomy in recent years were studied, the indications for hysterectomy and the course of the
postoperative period were analyzed. As a result of the study, predictors and risk groups among women were identified
depending on the stage and form of the pathological process. The frequent complications of the surgical process and
the postoperative period were studied.
KEYWORDS
Laparoscopic hysterectomy (LH), total hysterectomy, subtotal hysterectomy, frequency, complications, indications.
INTRODUCTION
Currently hysterectomy after appendectomy is the
most frequent operation performed in the world [2, 6,
8, 13]. The introduction of the latest technologies into
medical practice has changed the traditional views on
the surgical treatment of many gynecological diseases
[3, 11, 18]. The use of laparoscopy and hysteroscopy as
Research Article
TOTAL HYSTERECTOMY IN MODERN MEDICINE
Submission Date:
April 08, 2023,
Accepted Date:
April 13, 2023,
Published Date:
April 18, 2023
Crossref doi:
https://doi.org/10.37547/ijmscr/Volume03Issue04-06
Negmadjanov Bakhodir Boltayevich
Dcs, Professor, Head Of The Department Of Obstetri
cs And Gynecology №2 Samarkand State Medical
University, Samarkand, Uzbekistan
Shavazi Nargiz Nuraliyevna
Phd, Associate Professor, Head Of The Department Of Obstetrics And Gynecology №3, Samarkand, Uzbekistan
Ahadova Nigina Jamolovna
Master Of The Department
Of Obstetrics And Gynecology №3 Samarkand State Medical University,
Samarkand, Uzbekistan
Journal
Website:
https://theusajournals.
com/index.php/ijmscr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 03 Issue 04-2023
46
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
04
P
AGES
:
45-49
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
operational approaches has significantly reduced the
invasiveness of operations and increased the
effectiveness of treatment in gynecological patients [2,
9, 11, 13]. In the late 1980s, it was proposed to use a
laparoscopic approach to perform hysterectomy.
Laparoscopic hysterectomy (LH) has firmly entered the
world practice of operative gynecology [4, 5, 7, 15].
Currently, in the leading gynecological clinics,
laparoscopic operations account for more than 80% [1,
4, 12].Despite the accumulated experience of
performing OH in the world, such issues as the search
for the optimal technique for performing the operation
are still ambiguous; conflicting data on the
complications of laparoscopic hysterectomy, there are
also studies on the state of the stump after total
hysterectomy.
Purpose of the study: to determine the frequency of
total hysterectomy in the conditions of the city of
Samarkand over the past 2 years based on the
materials of the maternity complex No. 1.
Materials and methods. The data of modern literature
on the frequency of total hysterectomy, indications
and complications of this operation were studied.
The survey data of patients admitted to the
departments of obstetrics and gynecology of the
maternity complex No. 1 of the city of Samarkand for
2021-2022, who underwent a total hysterectomy, were
analyzed. Patients made the following methods of
examination:
complete
blood
count;
blood
biochemistry; coagulogram; blood clotting time,
ultrasound of the pelvic organs.
Patient data from 2021 were studied retrospectively,
and 2022 prospectively. The data obtained during the
material analysis were collected and analyzed in a
database developed using Microsoft Office software
(Access 2010). Descriptive statistics methods included
arithmetic mean (M), mean error (m) and mean
squared deviation (σ) of markers with normal
distribution.
Results and discussion. When analyzing the frequency
of hysterectomy by age group, women over 45 years of
age predominated. The mean age of the patients was
56.4±1.4 years.
Indications
for
hysterectomy
were:
fibroids
accompanied by meno-metrorhagia, rapid growth,
dysfunction of neighboring organs in 70% of patients in
2021, and in 2022 74%, adenomyosis, a combination of
benign ovarian tumors with uterine pathology was the
cause of hysterectomy in 25% in 2021 and 22% in 2022. In
5% of cases, hysterectomy was performed in women of
reproductive age for obstetric reasons: cuveler's
uterus, premature detachment of a normally located
placenta
with
bleeding.
Hysterectomy
was
accompanied by adhesiolysis in 23% of patients,
removal of uterine appendages from one or both sides
- in 28%, excision of endometriosis foci - in 17%.
Volume 03 Issue 04-2023
47
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
04
P
AGES
:
45-49
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
When studying the results of histological examination
of the endometrium in the examined patients,
endometrial hyperplasia was diagnosed in 28.4% of
patients. Fragments of the endometrial polyp were
diagnosed in 42.3% of patients. The endometrium of
the secretory phase of the menstrual cycle was
detected in 41.3% of patients.
The duration of the operation in patients with total
hysterectomy was 75-110 minutes, on average 83.4±2.6
minutes. The amount of blood loss ranged from 100 to
300 ml (average was 175.14±23.8 ml). The average
duration of the postoperative period after total
hysterectomy was 5.5±1.2 beds/day.
Conclusions: The analysis of the results of surgical
treatment of the examined women showed that
gynecological diseases often become the cause of
hysterectomy, women over 45 years of age prevailed
in the age group. According to the dynamics of
observation of the causes of hysterectomy,
myomatous lesions prevailed, which increased over
the year.
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International Journal of Medical Sciences And Clinical Research
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