Systematic review of medical audits of hysterectomy practices in India.
Indian J Med ResSep 1, 2026
Archana Kumari, Reeta Mahey, Hemali Heidi Sinha et al.
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In 30 seconds
This systematic review analyzed 89 medical audits of hysterectomy practices in India from 2010 to 2024. It found that hysterectomies were mainly performed on premenopausal women, with one-fourth under 40 years old. The primary indications were abnormal uterine bleeding and fibroids, often treated via abdominal surgery, highlighting significant gaps in reporting and adherence to guidelines.
Key findings
- One-fourth of hysterectomies were performed in women under 40 years old.
- Abnormal uterine bleeding and fibroids were the leading indications for hysterectomy.
- Complications included haemorrhage, postoperative fever, and urinary tract infections.
- Substantial gaps in standardised reporting and clinicopathological documentation were identified.
Why it matters
Understanding the patterns and gaps in hysterectomy practices can help clinicians improve decision-making and patient outcomes. Adherence to guidelines is crucial for reducing unnecessary surgeries and complications.