Abdominal hysterectomy versus transvaginal morcellation for the removal of enlarged uteri

Comparative analysis of patient profile, intraoperative characteristics and postoperative outcomes of two routes of hysterectomy: non descent vaginal hysterectomy and total abdominal hysterectomy

“…This enabled removal of large size uteri vaginally. A similar study carried out by Hoffman et al 8 reported that use of complementary procedures enabled removal of moderately enlarged uteri vaginally. Comparative results were also obtained in the study carried out by Kammerer Doak D. et al 9 concluding that uterine morcellation at the time of vaginal hysterectomy is safe and facilitates removal of moderately enlarged uteri without increasing peri operative morbidity.…”

“…However, various studies in the past 8,12 show no statistically significant difference in the mean day of Foley's catheter removal. This could be because there are no standard criteria for timing of Foley's catheter removal as it varies from patient to patient.…”

“…In a study carried out by Hoffman et al 8 patients who underwent vaginal hysterectomy started with regular diet earlier than those who underwent TAH (p<0.05). Early tolerance to normal diet contributed to early discharge, shorter hospital stay and therefore reduced total cost in the NDVH group.…”

Non-descent vaginal hysterectomy versus total abdominal hysterectomy in fibroid uterus: a comparative study in tertiary care hospital in Uttarakhand, India

“…But there are studies to refute this concept. 4,5 Our hospital being a tertiary care centre caters to the population from the most remote areas of the state. Due to lack of expertise, a large sector of the population remains deprived of NDVH for the surgical management of fibroids.…”

Vaginal hysterectomy in the absence of prolapse

“…These methods have been shown to be safe, with no added morbidity in terms of blood loss and visceral injury when comparing vaginal hysterectomy and abdominal hysterectomy for uteri of normal size. [26][27][28] Furthermore, uterine volume can be reduced by preoperative administration of gonadotrophinreleasing hormone analogues. Studies have shown that, in women with fibroid uteri of 12-18 weeks of gestation size, this increases the proportion of hysterectomies performed vaginally.…”