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Non Descent Vaginal Hysterectomy: Does Simple Technique Modification Increases the Success Rate

Gupta Pratiksha , Gupta Pratiksha

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Indian Journal of Obstetrics and Gynecology 4(3):p 271-273, Sept - Dec 2016. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.4316.13

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Abstract

 Background: Vaginal surgery is the true hallmark of the specialty of Gynecology. Non descent vaginal hysterectomy is a more skilled procedure and has a learning curve, but nevertheless can be measured provided the correct approach and technique is adopted. Aim: Increasing surgeon’s expertise for Non descent vaginal hysterectomy. Materials and Methods: A total of 250 women admitted in PGIMSR and GMCH with benign condition indicated for hysterectomy, from July 2005 to June 2012. Non descent vaginal hysterectomy was done using two methods one is coring and other by placement of hemi uterus inside the peritoneal cavity after bisection of the uterus. Results: Placement of hemi uterus inside the peritoneal cavity after bisection of the uterus and coring definitely added to successful surgery. Out of 250 patients 246 had successful outcome. Conclusions: Vaginal hysterectomy should be the “gold standard” for the surgical removal of the uterus. Simple technique modification will definitely add extra-boon to the methodology used.

Keywords: Benign; Uterus Bisection;Vaginal Hysterectomy.


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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.4316.13

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