A COMPARATIVE STUDY OF ABDOMINAL VERSUS NON - DESCENT VAGINAL HYSTERECTOMY

Main Article Content

Dr. Smeet S Patel
Dr. Babulal S Patel
Dr. Akshay C Shah
Dr. Shashwat K Jani

Abstract

Background: Both abdominal and vaginal hysterectomies are not competitive procedures but each has its own place in the operative armamentarium of the gynaecologist. Guidelines incorporating uterine size, mobility accessibility, and the pathology confined to the uterus (no adnexal pathology, known or suspected adhesions) have been proposed as selection criteria for vaginal hysterectomy.



Objectives: To evaluate the appropriate route of hysterectomy (abdominal or vaginal) in our hospital population for women with benign disease by comparing peri-operative and post-operative complications.



Materials and Methods: As per the inclusion and exclusion criteria, 100 cases admitted to the gynaecology unit requiring hysterectomy for benign diseases were randomly selected, out of which SO cases underwent NDVH (non- descent vaginal hysterectomy ) and SO cases underwent AH (abdominal hysterectomy). The parameters evaluated were operating time, blood loss, postoperative pain and other postoperative complications.



Results: The results were indicative towards vaginal hysterectomy being a better surgical modality with lesser operating time, blood loss, postoperative pain and other postoperative complications.



Conclusion: With adequate vaginal access, good uterine mobility and technical skill, vaginal hysterectomy can safely be performed on a non-prolapsed uterus, with an additional advantage of shorter duration of surgery, intraoperative complications, postoperative morbidity and shorter hospital stay. Hence, stating it to be a better surgical alternative to abdominal hysterectomy.



Keywords: Postoperative pain; Abdominal Hysterectomy; Non-Descent Vaginal Hysterectomy

Published Jan 1, 2019

Article Details