Abstract:

Purpose: In this study, our aim is to compare postoperative cervical histopathological findings in cases of preoperative cervical cytological examination in cases of hysterectomy for benign reasons and not in cases of postoperative cervical histopathological findings. In this cutting study, the 215 facts of hysterectomy with benign gynecological indications, the cervical cytological examination before hysterectomy and the result of an abnormal cytological findings (Group I, n=151) and the cervical cytological examination not performed or the result of the smar was not diagnosed due to "inadequate material" and the cytological repeat (Group II, n=64) were divided into two facts. Patients with known cervical intraepithelial injury or an abnormal cytological manifestation before hysterectomy and hysterectomy due to gynecological malignity were left out of study. The postoperative cervical histopathological results of the two groups were studied and the rate of detection of an abnormal result was compared. Comparisons between the two groups were made using Independent sample T-Test, Mann-Whitney test and Ki-Care test. The value p<0.05 was statistically considered meaningful. Results: The postoperative histopathological examination of the cervical body found the same rate of detection of pre-invasive injury in both groups (7.3% vs. 10.9% p= 0.377). In group 1 in 7 cases low-degree cervical intraepital injury (LSIL/CIN 1) in 3 cases high-degree cervical intraepital injury (HSIL/CIN 2-3), in 1 cases adenocarcinoma in situ was detected. In Group II, there were 4 low-degree cervical intraepithelial injury (LSIL/CIN 1) and 3 high-degree cervical intraepithelial injury (HSIL/CIN 2-3). In both groups, invasive cervical malignity was not observed. Result: Except for routine cervical cancer screening program before hysterectomy with benign indication, the application of the surgery without cervical cytological examination does not increase the risk of incidental cervical pre-invasive/invasive injury

Keywords: