Elizabeth Joseph1, Preethi Yethirajan2
The aim of the study is to assess the outcome in terms of safety, complication and feasibility of non-descent vaginal hysterectomy for benign gynaecological disease.
MATERIALS AND METHODS
A prospective study to assess feasibility, safety and significant complications in non-descent vaginal hysterectomy was conducted at the Department of Obstetrics and Gynaecology of DM-WIMS from January 2016 to December 2016. Non-descent vaginal hysterectomy was done for selected cases with benign pathology in the absence of prolapse. Vaginal hysterectomy was done by consultants to obtain comparable data. Hysterectomy was accomplished in usual manner using debulking methods like bisection, myomectomy and decoring techniques.
A total of 40 cases were selected for non-descent vaginal hysterectomy. Among them, 39 cases (97.5%) underwent successful NDVH. Majority of patients (67.5%) fell in the 40-50 years age group. The major indication (57.5%) was fibroid uterus. There were 45% cases <12 weeks and 45% between 12-14 weeks in size. Intraoperative and postoperative complications were minimal with only one bladder injury. 22.5% needed perioperative blood transfusion mainly as a corrective measure for pre-existing anaemia. Mean duration of surgery was 72 minutes. Mean day of discharge was 4 days.
Vaginal hysterectomy is safe and feasible in most of the women requiring hysterectomy for benign conditions with less complications and shorter hospital stay.
Non-Descent Vaginal Hysterectomy, Debulking Techniques, Size of Uterus, Intraoperative and Postoperative Complications.