Comparative study of different routes of hysterectomy
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2018, Vol 4, Issue 4
Abstract
Background: To compare the various routes of hysterectomy and find the most commonly performed hysterectomy type and the various complications associated with each. Methods: This prospective study was carried out in the department of Obstetrics and Gynaecology, N.S.C.B. medical College, Jabalpur during June 2007 to August 2008. A total of 174 cases included in the study. The women were divided into three groups depending on the surgical approach: the abdominal group consisted of women who underwent hysterectomy via a suprapubic or median incision; the laparoscopically assisted vaginal hysterectomy (LAVH) group consisted of women who underwent vaginal hysterectomy assisted by laparoscopic procedure (excluding uterine artery ligation) and vaginal hysterectomy. Results: The indications of hysterectomy differed among groups. Four main indications in the cases coming to medical college: Fibroid, DUB, Genital prolapse and PID. Prolapse was a more frequent indication for vaginal hysterectomies; however, abdominal hysterectomies or Laparoscopically assisted vaginal hysterectomies were used in 16 out of the 76 cases that involved only prolapse. Fibroids were more frequently an indication for abdominal or laparoscopic assisted vaginal hysterectomy. Conclusion: The vaginal route has significant advantages over LAVH and abdominal hysterectomy and should be the route of first choice. Hence there is a tremendous scope for improvement by careful preoperative assessment, meticulous surgical techniques and proper postoperative care in order to reduce the complication rate.
Authors and Affiliations
Bharti Singh, Sona Soni
Keywords
Related Articles
- EP ID EP497858
- DOI 10.17511/jobg.2018.i4.04
- Views 152
- Downloads 0
Antenatal care utilisation among low-risk and high-risk pregnant women & its effects on pregnancy outcome
Objective: To identify the level of utilisation of prenatal services amongst varying risk mothers, to study the factors associated with prenatal care utilisation & to study the association between level of prenatal care...
Knowledge, attitude and practice towards exclusive breast feeding among lactating mothers in a South Indian Hospital
Background: Exclusive breast feeding (EBF) isconsidered when the infant does not receive any additional food or nutriment other than breast milk. Aims and Objectives: The object of the study was to assess knowledge, atti...
A rare case of six loops of nuchal cord
Nuchal cord is defined as ≥360° wrapping of the umbilical cord around the fetal neck. Despite good prognosis in majority of cases, nuchal cord may be associated with variable fetal heart rate deceleration, decreased feta...
Heme iron polypeptide in treatment of anemia inpregnancy
Introduction: Treatment of iron deficiency anemia with non-heme iron salts still remains a challenge. The negative influence of various dietary elements and medications slows the absorption of iron from iron salts which...
Correlation between Serum Vitamin D levels and hypertensive disorders in pregnancy in primigravida in third trimester
Background: Hypertension related to pregnancy is a common obstetric complication observed in 7-8% of the antenatal cases in India. Vitamin D is involved in the development of the placenta and feto-maternal wellbeing, the...