COMBINED ABDOMINAL HYSTERECTOMY, CHOLECYSTECTOMY AND APPENDICECTOMY: A STUDY OF 25 CASES IN ABBOTTABAD

Samson Griffin, Nasreen Abbassi, Zahida Parveen, Arshad Zafar, Johar Ali

Abstract


Background: Gallstone disease is common in women. Many patients undergoing abdominal
ultrasound for gynaecological diseases are found to have gallstones. This study was done to see
the results of combined abdominal hysterectomy, mini-cholecystectomy and appendicectomy in a
set up lacking facilities of laparoscopic surgery. Methods: This prospective study was conducted
in Ayub Teaching Hospital, Iltaf Hospital and Shahina Jamil Trust Hospital of Abbottabad from
August 1998 to July 2004. All patients undergoing combined abdominal hysterectomy and minicholecystectomy were exclusively studied with reference to following variables. Age, Weight,
Parity, Co-morbid conditions, peri-operative and post-operative complications, blood transfusion,
hospital stay and mean extra time for mini-cholecystectomy and appendicectomy after abdominal
hysterectomy. Results: There were 25 patients in the study group. The ages ranged from 35-50
years. Mean weight was 65 Kg. There were no operative complications. Mild postoperative
complications occurred in 7(28%) patients. Mean extra time for cholecystectomy was 25 minutes.
Mean hospital stay was 9 days. Conclusions: In selected women, combined abdominal
hysterectomy, cholecystectomy and appendicectomy is a safe, feasible and cost effective
procedure.
Keywords: Abdominal hysterectomy, Appendicectomy, Cholecystectomy

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