Non Descent Vaginal Hysterectomy (NDVH) for Benign Gynaecological disease: An Institutional Study on safety and feasibility from South India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Hysterectomy is most common gynaecological surgery done for various indications varying from AUB, fibroid uterus to malignancies. There are various approaches for performing hysterectomy ranging from laparotomy, laparoscopic to vaginal hysterectomy in both descent and non-descent cases. Incidence of hysterectomies in india is reported to be low compared to developed countries.Most common indication for hysterectomy being excessive menstrual blood loss due to hormonal reasons or fibroids (size more often not exceeding 12 weeks) .The need for safer and less expensive route of surgery would be a better option for these kind of patients. In this context, we analysed our experience with a less morbidNon-descent vaginal hysterectomy with regards to safety and feasibility. Materials and methods: This is a retrospective observational study of patients who underwent nondescent vaginal hysterectomy (NDVH) for benign gynaecological conditions done at our institute from September 2017 to September 2015. NDVH was performed in cases where the uterus was mobile, with size not exceeding 20 weeks uterine size (by clinical examination), and with adequate vaginal access, various morcellation techniques were used in bigger size uterus. Results: In 105 cases of NDVH performed during the analysis period 59% of them were between 40-49 yrs, fibroid being the commonest indication.Failure/ conversion rate being 1.9%due to inaccessibility and shape of the fibroid. Complications were few with mean operating time being 90min with average blood loss of 100ml. Conclusion: Vaginal hysterectomy appears to be safe and feasible in most of the women requiring hysterectomy for benign conditions with minimum complications and shorter hospital stay
Authors and Affiliations
Gayathri KB, Sajana G, Manjusha P, Bhargav PRK
Keywords
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- EP ID EP238862
- DOI 10.9790/0853-1611075963
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