Non-descent Vaginal Hysterectomy: Safety and Feasibility

Saha, Rachana; Ns, Shrestha; Thapa, Meena; Shrestha, Junu; Bajracharya, Junu; Sm, Padhye

doi:10.3126/njog.v7i2.11134

Cited by 15 publications

(20 citation statements)

References 7 publications

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“…4,9 and world wide. 10,11,12 In our study, abdominal and vaginal hysterectomy were done equally. Apart from prolapsed uterus vaginal hysterectomy was done for 16-20wks fibroid uterus.…”

Section: Resultsmentioning

confidence: 99%

Hysterectomy: Changing Trends in a Tertiary Care Center

Singh¹,

Naik²,

Mahilange³

2015

jemds

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BACKGROUND:Hysterectomy is the most common gynec operation worldwide. It leads to significant morbidity and mortality hence there must be justifiable indication before procedure is undertaken. There is a lack of comprehensive data and too much variability from place to place, even in India. OBJECTIVE: To analyze the changing trends in hysterectomy in past 6 years. METHOD: A retrospective study of all women undergoing hysterectomy that were done in Dr. B.R.A.M. Hospital, Medical College, Raipur for 6yrs from 2009 to 2014. RESULTS: A total of 1032 hysterectomies were done during the study period. Most common age group was from 41-50 years. The commonest indication was symptomatic fibroid (33.52%). Vaginal and abdominal hysterectomy were done equally. A declining trend of incidence of hysterectomy was observed over the years from 14.9 to 9.61 per 1000 women per year, which is significant (p value-0.008). CONCLUSION: This study shows changing scenario of hysterectomy in terms of age, oophorectomy and rate. A shift towards minimal invasive techniques is also evident.

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“…4,9 and world wide. 10,11,12 In our study, abdominal and vaginal hysterectomy were done equally. Apart from prolapsed uterus vaginal hysterectomy was done for 16-20wks fibroid uterus.…”

Section: Resultsmentioning

confidence: 99%

Hysterectomy: Changing Trends in a Tertiary Care Center

Singh¹,

Naik²,

Mahilange³

2015

jemds

View full text Add to dashboard Cite

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“…According to medical historian Leonardo Vaginal hysterectomy was performed by Saronus in 2nd century on a gangrenous uterus. 7 In 1895, Garceau of France introduced vaginal hysterectomy for carcinoma of cervix, large fibroid, uteri prolapsed and infection. He was the first to introduce hemisection and morcellation of uterus to accompany vaginal removal.…”

Section: Discussionmentioning

confidence: 99%

Comparative study between vaginal and abdominal hysterectomy in non-descent cases

2016

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INTRODUCTIONHysterectomy, abdominal, vaginal or laparoscopic assisted vaginal hysterectomy is the most commonly performed elective major gynaecological surgery. 1 The current ratio of abdominal to vaginal hysterectomy is 3:1 for the treatment of benign disorders. The ratio should be reversed because fewer post-operative complications are associated with the vaginal route, which allows earlier recovery and return to work. 2Vaginal Hysterectomy is a technique that had already been introduced and performed centuries ago but with little success among gynaecologist probably because of an in experience or lack of enthusiasm among gynaecologist who performed the abdominal route believing it to be safer and easier procedure. In recent decade increased expertise has been achieved by the gynaecologist and better compliance has been reported by the patients. This has led to increased number of vaginal hysterectomies compared to abdominal hysterectomies.Vaginal surgery is least invasive and results in better quality of life. Many nulliparous women and many women who have undergone caesarian delivery do infact have sufficient vaginal capacity to allow vaginal hysterectomy. As long as surgeon can obtain adequate ABSTRACT Background: Hysterectomy is the major gynaecological surgery performed by gynaecologist all over the world. Various approaches have been tried by gynaecologist all over the world including abdominal, vaginal, laparoscopic, notes and robotic hysterectomy. Vaginal approach greatly reduces complications, decreases hospital stay, lowers hospital charges, post-operative discomfort and cosmetically better compared to abdominal and laparoscopic approaches. Vaginal hysterectomy in large sized uterus can be facilitated by bisection, myomectomy, debulking, coring and clamp less approach. The aim and objective of the study was to compare outcome of NDVH with outcome of TAH in terms of post-operative morbidity and duration of hospital stay. Methods: A total of 100 cases were selected with enlarged uterus of which 50 underwent NDVH and rest 50 underwent TAH. All patients were evaluated for operative time, intra-operative and post-operative complications and duration of hospital stay. Data were recorded and processed and standard statistical software were used. Results: Patients undergoing NDVH had an average operating time of 48.68 mins whereas for those undergoing TAH was 92.52 mins ('p'-value <0.001). Intra-operative complications were noted in 2% of patients undergoing NDVH whereas in 20% of patients undergoing TAH ('p'-value 0.016). Post-operative complications were noted in 34% of patients undergoing NDVH v/s 70% in TAH ('p'-value <0.001). Patients undergoing NDVH had a mean hospital stay of 5.96 days whereas 9.10 days in those undergoing TAH ('p'-value <0.001). Conclusions: NDVH is associated with decreased operative time, post-operative morbidity, early ambulation and early discharge from hospital compared to TAH.

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“…Majority of the patients were in age group of 40-45 years and were parous as noted in other studies. [9][10][11][12][13] A major factor in determining the route of hysterectomy is transvaginal accessibility of the uterus.…”

Section: Discussionmentioning

confidence: 99%