Vaginal Removal of Non Prolapsed Uterus with Benign Pathology.
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Date
2014-04
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Abstract
Vaginal hysterectomy was the first
minimally invasive surgical approach for benign gynecologic
conditions, a number of other approaches for hysterectomy
have been introduced, yet when compared with vaginal
hysterectomy these approaches do not offer significant
benefits for similar indications. Objectives : (1) To know
the benign gynecological conditions that can be treated by
vaginal hysterectomy. (2) To find out the operative
difficulties of vaginal hysterectomy done in non-prolapsed
uterus. (3) To know the morbidity and mortality of vaginal
hysterectomy. Methodology : This is a prospective study
conducted at our Hospital from 1st December 2010 to 30th
Nov. 2011. Hundred consecutive cases of non-descent
vaginal hysterectomy for benign pathology of uterus were
studied. Results : In our study maximum hysterectomies
were done in the age group 41-50 (49%) followed by 31-
40 (40%) least were in age more than 50 years. Mean parity
of the cases undergoing hysterectomy were 2.47. In 77%
patients, complaints were menorrhagia. The maximum
hysterectomies, 41% for fibroid uterus were done, followed
by 39% for DUB. One patient had intraoperative bladder
injury. Mean operating time for the hysterectomies was
53.21 minutes. No mortality was seen, 12% post-operative
complications were present. The mean post-operative stay
in the hospital was 5.95 days. Conclusion : Vaginal
hysterectomy is both feasible and optimal for many patients
who long have been considered inappropriate candidates
for vaginal hysterectomy. Many more hysterectomies should
be carried out vaginally without resorting to abdominal or
laparoscopic approach for benign conditions of the uterus.
Description
Keywords
nonprolapsed, vaginal hysterectomy, benign condition, fibroid, DUB
Citation
Doppa Geeta, Rao Tanushree, Gowder Ravikanth. Vaginal Removal of Non Prolapsed Uterus with Benign Pathology. Indian Medical Gazette. 2014 Apr ; 148 (4): 123-128.