Comparative study of peri and post-operative outcome in vaginal and abdominal hysterectomy

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Comparative study of peri and post-operative outcome in vaginal and abdominal hysterectomy

Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 1

Abstract

Background: Hysterectomy is surgical removal of all or part of uterus. The first abdominal hysterectomy was performed by Charles Clay in Manchester in 1843. Vaginal hysterectomy dates back to ancient times Aims and Objectives: To study of peri- and post-operative outcome in vaginal and abdominal hysterectomy. Methodology: After permission of institutional ethical committee this prospective observational study was carried out at Government Medical College, Latur. total 100 cases admitted to the Gynecology unit by simple random sampling method requiring hysterectomy for enlarged uteri were randomly selected out of which 50 cases underwent NDVH and 50 cases underwent total abdominal hysterectomy for same indications during the study period between June 2012 to November 2014. Statistical analysis was done by descriptive and inferential statistics using chi square test and students unpaired ‘t’ test. Software used in analysis were SPSS 17.0 % version and graph pad prism 5.0 and p <0.05 was considered as level of significance. Result :The majority of the patients were from the age group of 41-50 yrs were 78.00% , followed by 31-40 yrs were 16.00%, 51-60 yrs were 6.00%. and it is also clear that both the group is having similar age group. The intraoperative complications were more common in the TAH group as compared to NDVH group (X2-value=9.21,P<0.05) . The post-operative complications were more common in the TAH group as compared to NDVH group (i.e. X2=25.92, P<0.05) . The post operative ambulation was significantly more in the NDVH group as compared to TAH group (i.e. X2 =98, P<0.0001) . The mean hospital stay in the NDVH group was (mean ± SD) in Days was 6.52 ± 0.68 and for TAH was 10.21 ± 3.42 this was statistically significant. (t=9.76, P<0.0001) . The Pre-op Hb. was not significantly different in both the groups (i.e. t=1.25 , P>0.05) the post-operative Hb. Concentration was significantly lower in the TAH group i.e. 7.72±0.48 as compared to NDVH i.e. 8.54±0.32 (t=10.10, P<0.01) , This indicates that blood loss was more in abdominal group. TAH required more Blood transfusion as compared to NDVH group (i.e.t=26.54, p<0.0001) . In this study need for post-operative blood transfusion was significantly more in abdominal group as compared to NDVH group. This indicates that blood loss was more in abdominal group. Conclusion: it can be concluded from our study that the vaginal hysterectomy was found superior to abdominal hysterectomy with respect to less intra operative and post- operative complications, mean less days hospital stay, less blood lost, less requirement of blood transfusion etc.

Authors and Affiliations

Shweta Satish Kallurkar, Swati Narwade

Keywords

EP ID EP259844
DOI -
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