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

Authors

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

Abstract

Background: Gallstone disease is common in women. Many patients undergoing abdominalultrasound for gynaecological diseases are found to have gallstones. This study was done to seethe results of combined abdominal hysterectomy, mini-cholecystectomy and appendicectomy in aset up lacking facilities of laparoscopic surgery. Methods: This prospective study was conductedin Ayub Teaching Hospital, Iltaf Hospital and Shahina Jamil Trust Hospital of Abbottabad fromAugust 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 abdominalhysterectomy. Results: There were 25 patients in the study group. The ages ranged from 35-50years. Mean weight was 65 Kg. There were no operative complications. Mild postoperativecomplications occurred in 7(28%) patients. Mean extra time for cholecystectomy was 25 minutes.Mean hospital stay was 9 days. Conclusions: In selected women, combined abdominalhysterectomy, cholecystectomy and appendicectomy is a safe, feasible and cost effectiveprocedure.Keywords: Abdominal hysterectomy, Appendicectomy, Cholecystectomy

References

Vessey MP, Villard-Mackintosh L, Mc Pherson K et al. The

epidemiology of hysterectomy: Findings in a large cohort

study. Br J Obstet Gynaecol, 1992; 99:402-7.2. Julian B, Bickerstaff KI, Savage A. Benign diseases of the

biliary tract. In: Morris PJ, Malt RA [Eds]. Oxford

Textbook of Surgery, Vol 1. Oxford: Oxford University

Press 1994; p: 1209-39.3. Bennett GL, Balthazar EJ. Ultrasound and CT evaluation of

emergent gallbladder pathologies. Radiol Clin North Am,

; 41:1203-16.

Fagan SP, Awad SS, Rahwan K et al. Prognostic factors 4. Murray JM, Gilstrap LC, Massey FM. Cholecystectomy and

abdominal hysterectomy. JAMA , 1980;244:2305-6.

Prat JM, O’Leary JA, Symmonds RE. Combined

cholecystectomy and hysterectomy: A study of 95 cases.

Mayo Clin Proc, 1967; 42:529-35.6. Stevens ML, Hubert BC, Wenzel FJ. Combined

gynecological surgical procedures and cholecystectomy.

Am J Obstet Gynecol, 1984; 149: 350-4.

Kraus SF, Abell RD, Schipul AH. Appendectomy at the

time of cesarean section. J Okla Med Assoc, 2003; 96:431-

Salom EM, Schey D, Penalver M et al. The safety of

incidental appendectomy at the time of abdominal

hysterectomy. Am J Obstet Gynecol, 2003; 189:1563-7.

Pelossi MA, Villalona E. Laparoscopic hysterectomy,

appendicectomy and cholecystectomy. N J Med, 1993;90:207-12.10. Wadha A, Chowbey PK, Sharma A, Khullar R, Sony V,

Baijal M. Combined procedures in Laparoscopic Surgery.

Surg Laparosc Endosc Percutan Tech, 2003; 13:382-6.11. Henley C. Laparoscopic cholecystectomy-hysterectomysalpingo-oophorectomy: a combined application of

laparoscopic surgery. South Med J, 1992; 85:1266.

Moreaux J. Prospective study of open cholecystectomy for

calculous biliary disease. Br J Surg, 1994; 81:116-119.

Gemperli R, Neves RI, Tuma P et al. Abdominoplasty

combined with other intrabdominal procedure. Ann Plastic

Surg, 1992; 29:18-22.14. Wolff BG. Current status of incidental surgery. Dis Colon

Rectum, 1995;38:435-3815. Snyder TE, Selanders JR. Incidental appendectomy – yes or

no? A retrospective case study and review of the literature.

Infect Dis Obstet Gynecol, 1998; 6:30-37.16. Gupta SK, hukla VK. Silent gallstones: a therapeutic

dilema. Trop Gastroenterol, 2004; 25:65-8.

Bedirli A, Sakrak O, Sozuer EM, Kerek M, Guler I. Factors

effecting the complications in the natural history of acute

cholecystitis. Hepatogastroenterology, 2001; 48: 1275-8.18. Fagan SP, Awad SS, Rahwan K et al. Prognostic factors for

the development of gangrenous cholecystitis. Am J Surg,2003; 186:481-5.19. Amjad N, Fazal A. Mini-cholecystectomy now a day stay

surgery: anaesthetic management with multimodal

anaesthesia. J Pak Med Assoc, 2002; 52:291-6.

Downloads

Most read articles by the same author(s)

1 2 3 > >>