Indian Journal of Obstetrics and Gynecology Research


Comparative study of vaginal hysterectomy and abdominal hysterectomy in non-descent uterus


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Author Details: Shachi Ashit Joshi

Volume : 3

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 379

Article End Page : 382


Abstract

Hysterectomy–abdominal or vaginal or laparoscopic assisted vaginal hysterectomy is the most commonly performed elective major gynaecological surgery. The present study was conducted in our institute in 120 hysterectomy patients admitted for hysterectomy from February 2015 to July 2015.
Objective: The objective of this study was to compare the intra operative and post-operative complications following vaginal hysterectomy for non descent uterus and abdominal hysterectomy for similar indications.
Methods: A prospective comparative randomized study was carried out on 120 cases out of which 60 undergoing vaginal hysterectomy for non-descent uterus and 60 undergoing abdominal hysterectomy for similar indications.
Results: The most common indication was fibroid uterus; there was a statistical highly significant difference in blood loss. Postoperatively, complications were more common in those who underwent abdominal hysterectomy. Postoperatively, patients who underwent vaginal hysterectomy ambulated earlier and were discharged earlier.
Conclusion: Vaginal hysterectomy is a safe, least invasive route and is associated with lesser complications.

Keywords:
Vaginal hysterectomy, Non-descent uterus and abdominal hysterectomy