Trends in Hysterectomy for Pelvic Inflammatory Disease - Experience From Low Resource Settings

Abstract

Background: Genital infections are increasing. So more women are likely to have sequelae, which sometimes leads to hysterectomy. Continuous research is essential to prevent sequelae and morbidities related to therapy for sequelae. Objective: Present study was done to find out trends of hysterectomies for pelvic inflammatory disease (PID) in women of a low resource region. Methods: Case records of abdominal hysterectomy with salpingo oopherectomy performed either for PID as only indication or PID as major problem with other benign gynaecological disorders, were analyzed. During study period of two decades from January 1989 to 2008 December, 4829 women had undergone abdominal hysterectomy with salpingo-oopherectomy, 2984 done for benign gynaecological disorders including PID, 251 (8.4%) women had hysterectomy only for PID and 512 (17.15%) for PID with other disorders, but main indication was PID, making 763 (25.57%) study subjects. These Cases were mostly peri or post menopausal women. Results: In first half of analysis (over 10 years) 4.35% women had abdominal hysterectomy only for PID compared to 6.65% in second half, PID with other gynaecological disorders was the  indication in 11.5% cases in first half and 38.5% in second half, trends increasing significantly in both groups. Conclusion: Hysterectomies for PID are increasing. So it is essential to prevent, treat timely, appropriately, so that such sequelae do not occur.