Bleeding Complications Problem in Organs outside the Heart after Open Heart Surgery
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2016, Vol 1, Issue 2
Abstract
Background: Nowadays, there is a trend in favour of (laparoscopically assisted vaginal hysterectomy) LAVH even for patients in whom (vaginal hysterectomy) VH is feasible. Hence, this study is undertaken to compare the efficacy of LAVH and the traditional vaginal hysterectomy for the treatment of benign uterine disease and also to find out the advantage of LAVH over VH. Methods: The study population consists of patients who had undergone hysterectomy for benign uterine disease excluding prolapse of uterus. Medical records of patients who had undergone vaginal hysterectomy (50) and LAVH (50) without any medical illness and without previous surgical history (except sterilization) were collected. Age, parity, indication for hysterectomy, operative time, intra operative and postoperative complications and duration of hospital stay were noted and compared between the two groups. Results: The mean operative time was significantly shorter in the VH group (83.7min) than in the LAVH group (128.7 min) and the difference was statistically significant (p<0.000). Total hospital stay was significantly longer in the VH group (7.1days) when compared to the LAVH group (4.9days) and the difference was found to be statistically significant (p<0.000). There were no intraoperative complications noted in both the groups. There was no significant difference in the minor postoperative complications (fever and spotting per vaginum) between the two groups. Conclusions: This study shows lesser operative time in VH group when compared to LAVH group and there is no added advantage in performing LAVH other than shorter hospital stay. Hence it is concluded that whenever feasible VH should be the preferred route of hysterectomy.
Authors and Affiliations
Kumar Samarveera Shindhe
Keywords
Related Articles
- EP ID EP492215
- DOI -
- Views 152
- Downloads 0
Clinicopathological Evaluation of Skin Malignancies at Tertiary Care Hospital in Western Rajasthan
Background: Worldwide BCC is the commonest cutaneous malignancy, but in India, SCC is reported to be the most prevalent skin cancer. In the present study, we performed a prospective study on cancer of skin at the Departm...
Attenuation of hemodynamic response during laryngoscopy & Endo tracheal intubation comparison between Thiopentone alone and with Dexmedetomidine: A Randomized Clinical Trial.
Background and Aim Laryngoscopy and endotracheal intubation are traditional method of securing the airway for administration of anaesthesia, but violates patient’s protective airway reflexes and invariably cause haemodyn...
Evaluation of Various Caries Diagnostic Devices in Occlusal Caries Detection in Conjunction with Visual Inspection: An In vivo/ In vitro Study.
This study aimed to investigate in vivo and in vitro conditions for the effectiveness of the devices DIAGNOdent Pen, Caries ID, and CarieScan Pro in conjunction with ICDAS II in diagnosing occlusal decay. 88 permanent mo...
Rising Caesarean Rates: A Reason for Concern
Background: Caesarean section has become increasingly common in both developed and developing countries. Robson proposed a new classification system, Robson’s Ten –Group classification system to allow critical analysis a...
Hospitalisation after Renal Transplantation: A Single Centre Cross-Sectional Study
Background: Unplanned hospital readmissions following index medical and/or surgical events are common and costly. Readmission adds to patient burden and puts patients at increased risk of transition-of-care errors, such...