Comparision of abdominal hysterectomy with vaginal hysterectomy for large size uterine leiomyoma
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 2
Abstract
To Compare the outcome of vaginal and abdominal hysterectomy for large sized uteri with leiomyomas in terms of operative duration, intra-operative and postoperative complications. The study includes 200 cases of hysterectomies performed for uterine leiomyomas of more than 12 week size in our college from January 2007 to December 2010. All other indications of hysterectomy and hysterectomy for leiomyoma less than 10 week size are exluded from the study. Consecutive 100 cases of vaginal hysterectomy (study) were compared with 100 cases of abdominal hysterectomy (control). Detailed history taking and examination done. Routine investigations for Hysterectomy including ultrasound are done. Hysterectomy is done routine clamp, cut and ligate method. Morecelation in vaginal group is done by bisection, coring or piecemeal removal. The average operative time was 76 min in study group compared to 98 minutes in control group (P<0.001). Blood loss was on a higher side (Hb deficit-1.4 gm/dl) in control group compared to 0.9 gm/dl in study group (P<0.001). Lower postop analgesia was required for a maximum of 4 days in study group group leading to a hospital stay of 3 days compared to 10 days in control group (P<0.001). A better postoperative quality of life in terms of decreased duration of post operative analgesia, less wound infections were found in the study group when compared to control group. Intra operative blood loss was also found to be significantly less in vaginal hysterectomy.
Authors and Affiliations
Dr Geeta Doppa, Ravikanth Onkarappa Gowder, Tanushree Rao
Keywords
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