Comparative study of total abdominal hysterectomy, vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy
Journal Title: MRIMS Journal of Health Sciences - Year 2016, Vol 4, Issue 1
Abstract
Background: In 1934, Heaney 1st reported vaginal hysterectomy with few modifications and this method is favoured commonly in the preset days. In the early decades of 20th century, hysterectomy began to be used more often in the treatment of gynecologic disease and symptom. As the surgery became safer, skillfull gynecologists concentrated on developing newer surgical procedures to help the patients. Note worthy contributors were more to the techniques of gynecologic surgery by Sims, Werthieins, Schauta, Kelly, Clarhe, Mayo, Meigs and many others. Objective: To compare total abdominal hysterectomy, vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy. Methods: In this study, 90 cases of hysterectomy were analyzed over a period of two years for comparison between abdmonial, vaginal and laparoscopic assisted vaginal hysterectomies. Of which 30 were abdominal, 30 were simple vaignal and remaining were LAVH. Results: LAVH took longer operative time i.e. around 120 minutes when compared to TAH and VH. TAH & VH took almost same operative time without much difference. In the present study associated intra operative problems were observed in 7.7% of cases. In the present study, 6.6% of cases were associated with cystic ovaries and among them most of them underwent TAH. We found that 6.6% of women had hemorrhage in TAH and 3.3% in VH. The incidence of bladder injury was 1.1% in the present study. Parker RB et al found bladder injury in 0.67%. One patient had bowel injury due to multiple adhesions which is recognized on 3rd post operative day and laparotomy was done. Conclusion: Among all three methods of hysterectomies the preferable method of choice is vaginal hysterectomy and LAVH is the second method of choice and the abdominal route is last choice. Key words: Abdominal hysterectomy, vaginal hysterectomy, laparoscopic hysterectomy
Authors and Affiliations
Ramana Bai PV, Lakshmi Devi K
Keywords
Related Articles
- EP ID EP421847
- DOI -
- Views 126
- Downloads 0
A Study of Substance Use among Construction Workers in Suburban Hyderabad
Background: Tobacco and Alcohol are the most important substances which influenced the health status of the population worldwide. Globally over 450 million tobacco related deaths may occur. Objective: To study the substa...
A study of Bcl-2 and p-53 immunostaining expressions in colonic carcinomas
Background: Colorectal cancer burden has been steadily rising in women. It was the fourth most common cancer in 1975 and has reached the second position by 1990, with about 49% increase in the number of cases globally ov...
A clinical study of diabetic cataract and retinopathy
Background: The prevalence of diabetes is rapidly rising all over the globe. India leads the world with the largest number of diabetic subjects earning the dubious distinction of being termed the “Diabetes capital of the...
Effect of Drotaverine administration on cervical dilatation in uncomplicated deliveries
Background: Prolonged labour can lead to increased maternal and neonatal mortality and morbidities. Active management of labour versus physiological, expectant management has shown to decrease the occurrence of prolonged...
Sinus of Valsalva Aneurysm: A case report
Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac anomaly that can be congenital or acquired. Sinus of Valsalva aneurysm (SVA) is one of the rare congenital anomalies described in the literature, prevalence being 1...