COMBINED ABDOMINAL HYSTERECTOMY, CHOLECYSTECTOMY AND APPENDICECTOMY: A STUDY OF 25 CASES IN ABBOTTABAD
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, CholecystectomyReferences
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.
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
