Hysterectomy…..Which Route?

Chakraborty, Sohini; Goswami, Sudipta; Mukherjee, Partha; Sau, Manabendra

doi:10.1007/s13224-011-0076-x

Cited by 15 publications

(10 citation statements)

References 10 publications

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“…However, in our study, we did not have any major intraoperative complications. Studies by Chakraborty et al and Shanthini et al encountered bladder and ureteric injuries in the abdominal hysterectomy group [ 5 , 8 ]. This difference may be attributed to the skill of the operating surgeon and the complexity of the case.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Vaginal Hysterectomy and Total Abdominal Hysterectomy in Non-descent Uterus in a Rural Tertiary Care Center

Alamelu¹,

K.R²,

Sridhar³

et al. 2023

Cureus

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Aim To study the role of vaginal hysterectomy in non-descent uterus and to compare it with abdominal hysterectomy with respect to operative time, intraoperative blood loss and complications, ambulation, and postoperative complications. Materials and methods A prospective non-randomized study was carried out on 200 cases at a rural tertiary care center in B.G. Nagara, Karnataka, India for a period of 18 months after obtaining institutional ethical committee approval. One hundred patients underwent a vaginal hysterectomy, and there other 100 underwent an abdominal hysterectomy for similar indications. Results Mean age, parity, mode of delivery, BMI, uterine size, and anesthesia were similar between the groups. The most common indication was fibroid uterus (50%). It was found that the vaginal hysterectomy group was associated with significantly reduced mean operative duration and a decline in postoperative Hemoglobin when compared to the abdominal hysterectomy group. Patients who underwent vaginal hysterectomy had less postoperative pain and were ambulated earlier and discharged earlier. Also, postoperative complications were more common in those who underwent abdominal hysterectomy. Conclusion Vaginal hysterectomy is a safe and the least invasive route and is associated with lesser complications and should be chosen as the preferred method of hysterectomy, whenever feasible.

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Section: Discussionmentioning

confidence: 99%

Comparative Study of Vaginal Hysterectomy and Total Abdominal Hysterectomy in Non-descent Uterus in a Rural Tertiary Care Center

Alamelu¹,

K.R²,

Sridhar³

et al. 2023

Cureus

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show abstract

“…Chakraborthy et al, and Shantini et al reported a wound infection rate of 5% and 5.7% respectively in TAH group which was similar to our study finding. 12,25 The reason behind higher rates of infection can be, as TAH is a more extensive operation, wound infection chances are more if proper wound care was not taken.…”

Section: Discussionmentioning

confidence: 99%

“…28 Chakraborty S et al reported one case of bladder injury in NDVH group. 25 Chavhan RP et al, stated that there is one case of bowel injury in TAH group. 23 Mehta K et al, reported one case of bladder injury in NDVH group and one case of bowel injury in TAH group and 4 cases of ureteric injury in TAH group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of morbidity associated with non-descent vaginal hysterectomy and total abdominal hysterectomy

Ghadei

Mishra

2018

Int J Reprod Contracept Obstet Gynecol

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Background: In the present scenario of importance non-invasive surgery, there is increase in interest and requirement of vaginal hysterectomy for non-prolapsed uterus, i.e. non-descent vaginal hysterectomy (NDVH) due to its scarless surgery. it has much more advantages than that of abdominal hysterectomy in term of cosmesis, lesser duration of surgery, lesser intraoperative complication, lesser post-operative morbidity and early resumption to work. The aim of the present study is to asses and compare various factors like duration of surgery, intraoperative blood loss, intraoperative and postoperative complication postoperative morbidities, pain perception on 3rd post-operative day, post-operative ambulation, duration of hospital stay, time taken to resume normal work, follow up complains and afterall to decide the appropriate route of hysterectomy for benign conditions.Methods: Hundreds of patients were selected as per the criteria. They were divided into two groups NDVH (non-descent vaginal hysterectomy) and TAH (total abdominal hysterectomy) according to the inclusion criteria. Above mentioned factors are compared between the two groups.Results: Duration of surgery, intraoperative blood loss, intraoperative complications, post-operative morbidities and complications, duration of hospital stay, time required to resume normal work are less in NDVH group.Conclusions: Non-descent vaginal hysterectomy is a better alternative to abdominal hysterectomy for benign conditions.

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“…[ 1 2 ] Even though abdominal hysterectomy is more invasive, it is still the most common route for hysterectomy, especially in rural areas, because firstly the patients are unaware of the benefits of laparoscopic hysterectomies, secondly the cost of surgery through abdominal route is less, and thirdly most of the surgeons find it easy and convenient to perform. [ 3 ] Minimally invasive surgeries such as nondescent vaginal hysterectomy (NDVH), laparoscopy-assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH) offer cosmetic benefit, and recovery is faster over the routine abdominal hysterectomy but requires more technical skills. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 3 ] Minimally invasive surgeries such as nondescent vaginal hysterectomy (NDVH), laparoscopy-assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH) offer cosmetic benefit, and recovery is faster over the routine abdominal hysterectomy but requires more technical skills. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

A comparative analysis of nondescent vaginal hysterectomy, laparoscopy-assisted vaginal hysterectomy, and total laparoscopic hysterectomy for benign uterine diseases at a rural tertiary care center

Vishwakarma

Kanti

Verma

et al. 2022

Gynecol Minim Invasive Ther

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Objectives: The aim of this study was to compare operative data and postoperative complications among nondescent vaginal hysterectomy (NDVH), laparoscopy-assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH) at a rural tertiary care center. Materials and Methods: This is a prospective analytical study, of 145 hysterectomies for benign conditions with or without salpingo-oophorectomy in women from 30 to 60 years, over 3 years from January 2016 to December 2019, with 60 cases of NDVH, 46 cases of LAVH, and 39 cases of TLH. The three groups were compared intraoperatively in terms of blood loss, operating time, and intraoperative complications and postoperative complications and postoperative duration of hospital stay. Results: There was no significant difference between the three groups in terms of age, parity, body mass index, and indications for hysterectomies. The mean operative time was significantly shorter ( P = 0.000) in the NDVH group (54.67 ± 15.67 min) as compared to the LAVH (102.45 ± 10.53 min) and TLH (126.79 ± 8.7 min) groups. Intraoperative blood loss was greater ( P = 0.000) in the TLH group (111.025 mL ± 20.8) as compared to the NDVH (59.50 mL ± 16.7) and LAVH (91.85 mL ± 10.66) groups. The intraoperative complications and postoperative complications were higher in the TLH group as compared to the LAVH and NDVH groups. The duration of hospital stay was almost similar in all the groups. Conclusion: NDVH may be the preferred approach for experienced surgeons, as it is less time-consuming, has a small amount of blood loss, and is a scarless surgery, whereas LAVH and TLH may be the preferred approaches in the cases of presence of adnexal masses and adhesions or whenever salpingo-oophorectomy is indicated.

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Hysterectomy…..Which Route?

Cited by 15 publications

References 10 publications

Comparative Study of Vaginal Hysterectomy and Total Abdominal Hysterectomy in Non-descent Uterus in a Rural Tertiary Care Center

Comparative Study of Vaginal Hysterectomy and Total Abdominal Hysterectomy in Non-descent Uterus in a Rural Tertiary Care Center

Comparison of morbidity associated with non-descent vaginal hysterectomy and total abdominal hysterectomy

A comparative analysis of nondescent vaginal hysterectomy, laparoscopy-assisted vaginal hysterectomy, and total laparoscopic hysterectomy for benign uterine diseases at a rural tertiary care center

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