Comparison of blood loss between saline infiltration and no infiltration dissection during vaginal prolapse surgery -randomized controlled trial

Abstract

The lifetime risk of surgery in POP is 11%-19% [1,2]. 16%-32% of hysterectomies in India were reported to be for pelvic organ prolapse [3,4]. Advanced stage Prolapse requires surgery.Vaginal hysterectomy and reconstruction with native tissue repair and McCall's culdoplasty for cases with apical prolapse

A randomized interventional study on clinico-surgical outcome of vaginal hysterectomy with hydro dissection versus without hydro dissection

“…9 Similarly, in study by Sayed et al average blood loss was significantly lower in the saline hydro dissection group to 294.8±96.87 ml compared to 507.31±348.37 ml in the no infiltration group. 8 In our study, we found that blood loss can be significantly reduced with the use of saline for hydro dissection in comparison to that without hydro dissection, an especially important finding as saline is easily available and does not cause any cardiovascular complication. The difference in amount of blood loss could also be due to different operating surgeons, different methods of hydro dissection, inter-observer variance and different method of calculating blood loss.…”

“…7 The advantage of this technique is that saline is easily available and does not cause any cardiovascular compromise. 8 It has been suggested that hydro dissection technique makes the art of vaginal hysterectomy simpler, faster and bloodless. 4…”