Hysterectomy – Which Approach?
Journal Title: People's Journal of Scientific Research. - Year 2014, Vol 7, Issue 1
Abstract
Hysterectomy operation is frequently performed on women. In the era of minimal invasive surgery, the route of hysterectomy depends upon numerous clinical variables. The aim of this study was to evaluate & suggest the appropriate approach for hysterectomy. A total of 250 patients were included in the presents study; they were divided, into three categories: Category I included 50 patients of Pelvic Organ Prolapse (POP) for Vaginal Hysterectomy (VH), Category II included 40 patients who underwent Non Descent Vaginal Hysterectomy (NDVH), Category III included 160 patients who had Total Abdominal Hysterectomy (TAH). Operative time, hemorrhage, wound infection, post- operative analgesia, febrile morbidity, hospital stay and recovery were recorded for each patient. Indications for hysterectomy were POP, abnormal uterine bleeding (AUB) and fibroid uterus. The study period showed a gradual increase in number of NDVH. Perioperative blood loss, post operative pain score, hospital stay; cost was less in patients with VH/NDVH. Uncomplicated, fast and cost effective technique for removal of uterus remains VH & NDVH. Non Descent Vaginal Hysterectomy is gaining increased acceptability among patients being minimally invasive with no visible scar.
Authors and Affiliations
V. Mahasani, , R. Suchdeva, , A. Aggarwal
Keywords
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