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Non-descent Vaginal Hysterectomy versus Total Abdominal Hysterectomy in Benign Uterine Disorders: A comparative study in Tertiary Hospital

Latha B., Assistant Professor, Department of Obstetrics and Gynaecology, JJM Medical College, Davangere Karnataka 577004, India. , Latha B.

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Indian Journal of Obstetrics and Gynecology 5(3):p 379-382, Jul-Sep 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.10

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Abstract

Background: Hysterectomy is the most common surgery performed in gynecological practice. At present there are three main types of hysterectomy operations in practice for benign diseases-Abdominal hysterectomy (AH), vaginal hysterectomy (VH) and Laparoscopic hysterectomy (LH). Vaginal route for non-descent uterus is an acceptable method of hysterectomy. The objective of present study was to compare the operating duration, intraoperative and postoperative complications between Non descent vaginal hysterectomy (NDVH) and Total abdominal hysterectomy (TAH) in non-descent uterus. Methods: The study was conducted in the postgraduate department of obstetrics and gynecology for a period of 18 months between April 2014 to October 2015 in a tertiary care referral centre. Results: 100 patients were included in the study, 50 patients underwent non-descent vaginal hysterectomy and labeled as group A and 50 patients were underwent total abdominal hysterectomy and labeled as group B. It was observed that intraoperative complications and postoperative complications were less in group a patients and operating time is also less with group A patients when compared with group B patients. Conclusions: It was concluded that NDVH is associated with lesser intraoperative blood loss, faster recovery, and early ambulation, less operative and less postoperative morbidity when compared to TAH. Ndvh is a less invasive technique with shorter hospital stay.

Keywords: Hysterectomy; Non-Descent Vaginal Hysterectomy; Total Abdominal Hysterectomy. 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.10

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