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Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-4 | Issue-11 | 423-426
Original Research Article
Non Descent Vaginal Hysterectomy: A Study on Safety, Feasibility, Indications and Complications
Dr. Kiran Khemani, Dr. Ketaki Junnare, Dr. Sonali Ingole, Dr. Gulab Singh Shekhawat
Published : Nov. 8, 2021
DOI : 10.36348/sijog.2021.v04i11.003
Abstract
Background: Hysterectomy is most common gynaecological surgery done for various indications varying from AUB, fibroid uterus to malignancies. It can be done by abdominal or vaginal route and with the help of laparoscopy. Laparoscopic assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH) although gaining more popularity now a days, though it is associated with higher cost, longer duration of operation, and need general anaesthesia moreover ureteric injury, bladder injury, and anesthetic complications were more in laparoscopic assisted hysterectomy (LAVH) group when compared to abdominal and vaginal hysterectomies. In addition LAVH was accomplished in twice the time required for vaginal hysterectomy. Most common indication for hysterectomy being excessive menstrual blood loss due to hormonal reasons or fibroids (size more often not exceeding 12 weeks). The need for safer and less expensive route of surgery would be a better option for these kind of patients. The aim of the study was to analyse the safety, feasibility and to study the indication and the complications of non-descent vaginal hysterectomy. Methodology: This is a retrospective cohort study. 120 women who underwent non-descent vaginal hysterectomy in the department of OBGY, Smt. Kashibai Navale Medical college and General Hospital, Pune, India were included in the study. Patient’s records were retrieved. Data regarding patient’s age, parity, indications for hysterectomy, and uterine size in weeks, previous surgeries in the past, duration of surgery and complications were recorded. Data collected on a semi structured proforma and the same was analysed using suitable statistical analysis. Results: A total of 120 cases were operated for different indications. Among the study participants majority were in the age group of 41-45 years (56 i.e 46.7%). Most common indication for hysterectomies were Abnormal uterine bleeding (AUB) (54 i. e 45%), followed by fibroid uterus (30 i.e 25%). The mean duration of surgery time taken was 60+10 minutes. Majority of the women who underwent hysterectomies had bulky uterus (70%). Complications were very few. Fever, UTI (urinary tract infection) and headache were seen in 5% cases. There were two cases of vault sepsis and one case of upper respiratory tract infection (URTI). In one patient vaginal hysterectomy could not be completed and abdominal hysterectomy was carried out. Mean hospital duration was 4 days. Conclusion: Vaginal hysterectomy appears to be safe and feasible in most of the women requiring hysterectomy for benign conditions with minimum complications and shorter hospital stay.
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