Objectives: To determine superiority, safety and effectiveness of vaginal over abdominal route of hysterectomy and to show that vaginal hysterectomy requires shorter duration of surgery, less blood loss, early post operative recovery with early ambulation of the patient, less operative complication & less duration of hospital stay compared to total abdominal hysterectomy. Methodology: A prospective comparative study conducted among 150 women undergoing hysterectomy for benign uterine condition. Those undergoing non descent vaginal hysterectomy were compared with those undergoing total abdominal hysterectomy. Results: When we compared NDVH with TAH it was found that it takes less time [86.32±9.74] min ,with lesser blood loss [171.32±36.58] ml as compared to [106.41±15.72] min and [210.45±70.45] ml in abdominal hysterectomy. The pain scores and hospital stay is also favorable in vaginal route. Conclusion: From our study we conclude that a scar less surgery in the form of NDVH should be preferred by all surgeons as the primary route of perform hysterectomy. Previously considered contraindications for NDVH have now been ruled out.

Introduction: Lesions of the cervix are the commonest causes of chronic ill health in gynecological practices. The cervix is a specially modified part of uterus with a histological and physiological entity of its own. It probably constitutes the most neglected and damaged part of female body. The accurate study of these vaginal and cervical lesions are needed because of chronic disability of the patient in the form of low backache, vaginal discharge, primary or secondary sterility and later predisposition to malignancy. Material and Methods: A total of 200 smears were studied from 200 women of reproductive age group attending gynecological outpatient department and antenatal clinic of Tertiary care teaching hospital of central India who complained of symptoms like backache, discharge, and irregular vaginal bleeding. A detailed clinical and vaginal examination was done in every case and smears were collected for exfoliative cytology. Analysis of results was done by Odds ratio and multivariate logistic regression. Results: 200 clinically diagnosed cases of benign lesions of cervix were taken up for detailed clinical and cytological study. Erosion was the commonest among all benign lesions, which was 58.5%. Next common lesion was chronic cervicitis (20%) &chronic cervicitis with erosion (9%) on cytological examination. Conclusions: Nonmalignant cervical lesions are extremely common. Cervical erosion and non-specific cervicitis are most frequently encountered. These are frequent cause of morbidity in women of reproductive age group, which if neglected progresses to malignancy with significant morbidity and mortality. Close follow up and histiologic examinations are necessary to avoid unnecessary spread of neoplastic disease and untimely death of patients. Awareness about diseases in women of reproductive age group and diagnostic utility of papanicolau smear test is also a must.